Provider Demographics
NPI:1831303254
Name:MORIGEAU, JO (RN)
Entity type:Individual
Prefix:MS
First Name:JO
Middle Name:
Last Name:MORIGEAU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2455 MCCLURE RD
Mailing Address - Street 2:
Mailing Address - City:ARLEE
Mailing Address - State:MT
Mailing Address - Zip Code:59821-9640
Mailing Address - Country:US
Mailing Address - Phone:406-726-3404
Mailing Address - Fax:
Practice Address - Street 1:880 MISSION DRIVE
Practice Address - Street 2:
Practice Address - City:ST.IGNATIUS
Practice Address - State:MT
Practice Address - Zip Code:59865
Practice Address - Country:US
Practice Address - Phone:406-745-3525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT13360163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management