Elizabeth Ann Morgan, MD

Individual provider Active NPI Geriatric Medicine (Family Medicine) Physician · Sandia Park, NM

NPI 1376536110 · NPPES record last updated Sep 18, 2009

Key facts

NPI
1376536110
Entity type
Individual (NPI type 1)
Primary specialty
Geriatric Medicine (Family Medicine) Physician 207QG0300X
License
2001-267 (NM)
Practice address
45A Los Ranchitos Rd
Sandia Park, NM 87047-9619
Phone
(505) 281-5274
Fax
(505) 281-0311
NPI assigned
Aug 26, 2005
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 2001-267 NM Yes

Addresses

Primary practice location

45A Los Ranchitos Rd
Sandia Park, NM 87047-9619

Mailing address

PO Box 1554
Sandia Park, NM 87047-1554
Phone (505) 281-5274

Other identifiers

IdentifierTypeStateIssuer
8352577MedicaidWA

Other providers in Sandia Park, NM

All providers in Sandia Park, NM · Geriatric Medicine (Family Medicine) Physician in New Mexico

Sources for this page

Verify at the official NPI Registry.