Provider Demographics
NPI:1427898014
Name:MORGAN, GRANT ALEXANDER (NAR)
Entity type:Individual
Prefix:
First Name:GRANT
Middle Name:ALEXANDER
Last Name:MORGAN
Suffix:
Gender:M
Credentials:NAR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4115 W FIG TREE LN
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-8211
Mailing Address - Country:US
Mailing Address - Phone:559-356-0505
Mailing Address - Fax:
Practice Address - Street 1:4115 W FIG TREE LN
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-8211
Practice Address - Country:US
Practice Address - Phone:559-356-0505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95260247163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine