Provider Demographics
NPI:1487382404
Name:SEAFORD, MORGAN MICHELE (APRN)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:MICHELE
Last Name:SEAFORD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 CYPRESS ST
Mailing Address - Street 2:CLINIC ADMINISTRATION
Mailing Address - City:SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70663
Mailing Address - Country:US
Mailing Address - Phone:337-527-6530
Mailing Address - Fax:337-528-7337
Practice Address - Street 1:703 CYPRESS ST STE A
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70663-5053
Practice Address - Country:US
Practice Address - Phone:337-310-0395
Practice Address - Fax:337-310-0392
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA224331363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily