Healthcare Provider Details

I. General information

NPI: 1780467597
Provider Name (Legal Business Name): CALEB ANTHONY MORROW CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 PARNASSUS AVE
SAN FRANCISCO CA
94143-2204
US

IV. Provider business mailing address

810 EDDY ST APT 405
SAN FRANCISCO CA
94109-7708
US

V. Phone/Fax

Practice location:
  • Phone: 415-514-3785
  • Fax:
Mailing address:
  • Phone: 704-314-6261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberNA95002951
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: