Provider Demographics
NPI:1548823198
Name:NGUYEN, MORGAN ANN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:ANN
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:ANN
Other - Last Name:PEDERSEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2910 CRESCENT AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-2522
Mailing Address - Country:US
Mailing Address - Phone:205-380-8820
Mailing Address - Fax:205-380-8825
Practice Address - Street 1:2910 CRESCENT AVE STE 100
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-2522
Practice Address - Country:US
Practice Address - Phone:205-380-8820
Practice Address - Fax:205-380-8825
Is Sole Proprietor?:No
Enumeration Date:2019-04-18
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-161912163W00000X, 363LG0600X
ALAG02210101363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse