1194237750 NPI number — MS. LAQUEITA QUARZETTE MORNING FNP-C

Table of content: MS. LAQUEITA QUARZETTE MORNING FNP-C (NPI 1194237750)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194237750 NPI number — MS. LAQUEITA QUARZETTE MORNING FNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORNING
Provider First Name:
LAQUEITA
Provider Middle Name:
QUARZETTE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
FNP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194237750
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/07/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1075 EVANS LANE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROBERSONVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27871
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-751-3935
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2100 STANTONSBURG RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27834-2818
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-847-4100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/03/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  MORN-AJ2J6T , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 5010119 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com