Provider Demographics
NPI:1023787645
Name:MORGAN, WESTON REX (APRN-CNP)
Entity type:Individual
Prefix:
First Name:WESTON
Middle Name:REX
Last Name:MORGAN
Suffix:
Gender:M
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 W DANFORTH RD # 142
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-4685
Mailing Address - Country:US
Mailing Address - Phone:405-531-2009
Mailing Address - Fax:405-337-9605
Practice Address - Street 1:3085 E WATERLOO RD STE B
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-9326
Practice Address - Country:US
Practice Address - Phone:405-531-2009
Practice Address - Fax:405-337-9605
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0113187163W00000X
OK205233363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse