Healthcare Provider Details

I. General information

NPI: 1952829921
Provider Name (Legal Business Name): WENDY BERNADETTE MORROW FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2017
Last Update Date: 08/20/2020
Certification Date: 08/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 PLEASANT STREET
FALL RIVER MA
02722
US

IV. Provider business mailing address

2757 LEWIS STREET
DIGHTON MA
02715
US

V. Phone/Fax

Practice location:
  • Phone: 508-676-3292
  • Fax:
Mailing address:
  • Phone: 774-229-6436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN215093
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: