Provider Demographics
NPI:1508481318
Name:MORGAN-DUGAS, DESTANY STAR
Entity type:Individual
Prefix:
First Name:DESTANY
Middle Name:STAR
Last Name:MORGAN-DUGAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25788 BLUEBIRD TRL
Mailing Address - Street 2:
Mailing Address - City:COARSEGOLD
Mailing Address - State:CA
Mailing Address - Zip Code:93614-9600
Mailing Address - Country:US
Mailing Address - Phone:559-978-2766
Mailing Address - Fax:
Practice Address - Street 1:25788 BLUEBIRD TRL
Practice Address - Street 2:
Practice Address - City:COARSEGOLD
Practice Address - State:CA
Practice Address - Zip Code:93614-9600
Practice Address - Country:US
Practice Address - Phone:559-978-2766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-08
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula