Organization · Type 2 NPI

Morningstar Medical Group

Nurse Practitioner · Port Charlotte, FL

NPI number 1124865571 Active

Practice location

1435 Collingswood Blvd Unit B
Port Charlotte, FL 33948-1148

Fax (941) 216-6935

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

4 other providers at this address

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About NPI 1124865571

Morningstar Medical Group's National Provider Identifier is 1124865571, issued on Jul 12, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Port Charlotte, FL. The record was last updated on Jun 18, 2025.