MEDICARE: PATRICIA ELLEN MORROW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	98	NE
2	237700000X	Hearing Instrument Specialist	494	NE
3	231H00000X	Audiologist	356A	SD
4	237600000X	Audiologist-Hearing Aid Fitter	356A	SD
5	231H00000X	Audiologist	00609	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497736854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ELLEN MORROW

Provider Business Mailing Address
First Line	:	8005 FARNAM DR
Second Line	:	SUITE 204
City	:	OMAHA
State	:	NE
Zip	:	68114-3426
Country	:	US
Telephone Number	:	402-502-6970
Fax Number	:	402-502-6930

Provider Business Practice Location Address
First Line	:	8005 FARNAM DR
Second Line	:	SUITE 204
City	:	OMAHA
State	:	NE
Zip	:	68114-3426
Country	:	US
Telephone Number	:	402-502-6970
Fax Number	:	402-502-6930

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	02/25/2009

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Directions to “ PATRICIA ELLEN MORROW ” Practice Location

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