Morgan Sterling Ercanbrack

Individual provider Active NPI Registered Nurse First Assistant · Jackson, WY

NPI 1497647481 · NPPES record last updated Jul 16, 2025

Key facts

NPI
1497647481
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse First Assistant 163WR0006X
License
40196 (WY)
Practice address
625 E Broadway Ave
Jackson, WY 83001-8642
Phone
(307) 733-2443
Fax
(307) 733-6912
NPI assigned
Jul 16, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
40196WYMDRegistered Nurse First Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
163WR0006X 40196 WY Yes

Addresses

Primary practice location

625 E Broadway Ave
Jackson, WY 83001-8642

Mailing address

9140 S 2000 W
Victor, ID 83455-5478

Other providers in Jackson, WY

All providers in Jackson, WY · Registered Nurse First Assistant in Wyoming

Sources for this page

Verify at the official NPI Registry.