Provider Demographics
NPI:1699350165
Name:CARNAGIE, MORGAN (RN, CLC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:CARNAGIE
Suffix:
Gender:F
Credentials:RN, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-1710
Mailing Address - Country:US
Mailing Address - Phone:785-842-4477
Mailing Address - Fax:785-842-7433
Practice Address - Street 1:1803 W 6TH ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1710
Practice Address - Country:US
Practice Address - Phone:785-842-4477
Practice Address - Fax:785-842-7433
Is Sole Proprietor?:No
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAALPP-326564163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant