Provider Demographics
NPI:1144270877
Name:MORGAN, ANN BERT (MSN, APRN, BC-FNP)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:BERT
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MSN, APRN, BC-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 BACK FORTY PL
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29180-6721
Mailing Address - Country:US
Mailing Address - Phone:803-635-6556
Mailing Address - Fax:
Practice Address - Street 1:2728 SUNSET BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-4840
Practice Address - Country:US
Practice Address - Phone:803-936-8080
Practice Address - Fax:803-936-8079
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1181363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily