Healthcare Provider Details

I. General information

NPI: 1396112074
Provider Name (Legal Business Name): PAULA ANNETTE MORROW FNP-BC, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2015
Last Update Date: 10/14/2022
Certification Date: 10/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3060 N NATIONAL RD
COLUMBUS IN
47201-3236
US

IV. Provider business mailing address

7743 S 600 W
EDINBURGH IN
46124-9699
US

V. Phone/Fax

Practice location:
  • Phone: 812-314-7955
  • Fax:
Mailing address:
  • Phone: 173-512-9356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number28187097A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71005753A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71005753A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: