MORGAN WUSSOW RN
NPI 1487253670
Registered Nurse - Ambulatory Care in Boise, ID
Active since October 20, 2020
About Morgan Wussow Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MORGAN WUSSOW RN (NPI 1487253670) is an individual ambulatory care provider in Boise, Idaho, licensed in Idaho (47977) and active in the NPI registry since October 2020.
NPPES Registry Identity
NPI1487253670
Entity TypeIndividualFemale
Primary Taxonomy163WP2201X
Provider Legal NameMORGAN WUSSOWCredential: RN
Location Address500 W FORT STBoise, ID 83702-4501
Mailing Address500 W Fort StBoise, ID 83702-4501 · (208) 422-1000 · Fax (208) 422-1591
Phone(208) 422-1000
Fax(208) 422-1591
Sole ProprietorNo
Enumeration DateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
✔ NPI 1487253670 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Ambulatory CareNursing Service Providers
Taxonomy Code163WP2201X
License✔ Licensed in ID · 47977
500 W FORT ST, Boise, ID 83702
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487253670, enumerated as an "individual" on October 20, 2020.
The provider is located at 500 W FORT ST BOISE, ID 83702 and the phone number is (208) 422-1000.
Registered Nurse with taxonomy code 163WP2201X and a focus in Ambulatory Care.