Provider Demographics
NPI:1306087960
Name:MILAGROSA, MORGHAN B (CNM, ANP)
Entity type:Individual
Prefix:MS
First Name:MORGHAN
Middle Name:B
Last Name:MILAGROSA
Suffix:
Gender:F
Credentials:CNM, ANP
Other - Prefix:MS
Other - First Name:MORGHAN
Other - Middle Name:B
Other - Last Name:STENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM, ANP
Mailing Address - Street 1:PO BOX 1407
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-1407
Mailing Address - Country:US
Mailing Address - Phone:360-824-5278
Mailing Address - Fax:888-281-2979
Practice Address - Street 1:111 S 12TH ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98274
Practice Address - Country:US
Practice Address - Phone:360-824-5278
Practice Address - Fax:360-768-3134
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201501427RN163W00000X
AK28582163WP1700X
WAAP60769906363L00000X, 363LX0001X
OR201501429NP-PP363LW0102X
OR201501430NP-PP367A00000X
AK1074367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
No163WP1700XNursing Service ProvidersRegistered NursePerinatal
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology