Healthcare Provider Details
I. General information
NPI: 1497266241
Provider Name (Legal Business Name): MARANDA G MORROW ARNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/19/2017
Last Update Date: 02/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1515 S OSPREY AVE STE A1
SARASOTA FL
34239-2933
US
IV. Provider business mailing address
PO BOX 863407
ORLANDO FL
32886-3407
US
V. Phone/Fax
- Phone: 941-917-7197
- Fax: 941-917-4016
- Phone: 941-917-2600
- Fax: 941-917-7884
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | ARNP9355542 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: