Healthcare Provider Details

I. General information

NPI: 1700794393
Provider Name (Legal Business Name): AUSTIN CARROLL MORRIS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

263 FARMINGTON AVE
FARMINGTON CT
06030-8021
US

IV. Provider business mailing address

263 FARMINGTON AVE
FARMINGTON CT
06030-8021
US

V. Phone/Fax

Practice location:
  • Phone: 860-679-4477
  • Fax: 860-679-1025
Mailing address:
  • Phone: 860-679-4477
  • Fax: 860-679-1025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number18280
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: