Provider Demographics
NPI:1588979116
Name:MORGAN, STEPHANIE PALMER (RN BSN)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:PALMER
Last Name:MORGAN
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 WESTGATE CIRCLE
Mailing Address - Street 2:APT D
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313
Mailing Address - Country:US
Mailing Address - Phone:330-310-8348
Mailing Address - Fax:
Practice Address - Street 1:58 WESTGATE CIR APT D
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-7451
Practice Address - Country:US
Practice Address - Phone:330-310-8348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-06
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 345455163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse