Provider Demographics
NPI:1548760002
Name:MORGAN, CLAUDINE INGABIRE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CLAUDINE
Middle Name:INGABIRE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2351 25TH ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-8722
Mailing Address - Country:US
Mailing Address - Phone:817-448-4228
Mailing Address - Fax:
Practice Address - Street 1:2351 25TH ST UNIT B
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-8722
Practice Address - Country:US
Practice Address - Phone:817-448-4228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX852797163W00000X
AZ310586363LP0808X
TX1159759363LP0808X
NM80728363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse