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NPI Code Detail

MEDICARE: SUSAN K MORRIS NP

MEDICARE:   SUSAN K MORRIS  NP
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
1363LX0001XObstetrics & Gynecology Nurse Practitioner5149CA

General Provider Information

NPI Number : 1548681059
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN K MORRIS NP
Provider Business Mailing Address
First Line : 1111 LAS TABLAS RD
Second Line : STE. N
City : TEMPLETON
State : CA
Zip : 93465-9732
Country : US
Telephone Number : 805-434-1825
Fax Number : 805-434-2761
Provider Business Practice Location Address
First Line : 1111 LAS TABLAS RD
Second Line : STE. N
City : TEMPLETON
State : CA
Zip : 93465-9732
Country : US
Telephone Number : 805-434-1825
Fax Number : 805-434-2761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2013
Last Update Date : 12/31/2013

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