Healthcare Provider Details

I. General information

NPI: 1487100087
Provider Name (Legal Business Name): NAIKEYA L MORRISON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 09/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 EAST 12TH STREET
WILMINGTON DE
19802
US

IV. Provider business mailing address

1004 CLIFTON PARK CIRCLE
WILMINGTON DE
19802-1805
US

V. Phone/Fax

Practice location:
  • Phone: 302-429-7771
  • Fax:
Mailing address:
  • Phone: 484-485-1020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN-0001826
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP016080
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: