Provider Demographics
NPI:1427475722
Name:MORGAN, MARCANTHONY H (APRN FNP-C)
Entity type:Individual
Prefix:
First Name:MARCANTHONY
Middle Name:H
Last Name:MORGAN
Suffix:
Gender:M
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3434 HANCOCK BRIDGE PKWY STE 301
Mailing Address - Street 2:
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-7099
Mailing Address - Country:US
Mailing Address - Phone:877-856-3774
Mailing Address - Fax:
Practice Address - Street 1:9500 BONITA BEACH RD SE STE 101
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4679
Practice Address - Country:US
Practice Address - Phone:239-498-9294
Practice Address - Fax:239-498-7179
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN71005258A363LF0000X
KY3008482363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily