Provider Demographics
NPI:1427870997
Name:MORGAN, ALEXANDRIA LOUISE
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:LOUISE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALEXANDRIA
Other - Middle Name:LOUISE
Other - Last Name:NALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6018 NW 23RD ST APT 3
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-1296
Mailing Address - Country:US
Mailing Address - Phone:405-723-6692
Mailing Address - Fax:
Practice Address - Street 1:6018 NW 23RD ST APT 3
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73127-1296
Practice Address - Country:US
Practice Address - Phone:405-723-6692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist