Provider Demographics
NPI:1144820424
Name:NARVICK, MORGAN (RDN/LDN)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:NARVICK
Suffix:
Gender:F
Credentials:RDN/LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11905 BLUE HILL TRL
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-3429
Mailing Address - Country:US
Mailing Address - Phone:815-931-1799
Mailing Address - Fax:
Practice Address - Street 1:6151 LAKE OSPREY DR FL 3
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34240-8419
Practice Address - Country:US
Practice Address - Phone:941-253-5174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL86117474133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered