Healthcare Provider Details

I. General information

NPI: 1356738967
Provider Name (Legal Business Name): AARON MORROW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2015
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19410 N 68TH AVE
GLENDALE AZ
85308-5513
US

IV. Provider business mailing address

19410 N 68TH AVE
GLENDALE AZ
85308-5513
US

V. Phone/Fax

Practice location:
  • Phone: 505-710-6292
  • Fax:
Mailing address:
  • Phone: 505-710-6292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number217843
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: