Healthcare Provider Details

I. General information

NPI: 1841129996
Provider Name (Legal Business Name): SANDRA RENEE MORROW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 S DEKALB ST
SHELBY NC
28152-8768
US

IV. Provider business mailing address

1635 S DEKALB ST
SHELBY NC
28152-8768
US

V. Phone/Fax

Practice location:
  • Phone: 704-670-4368
  • Fax:
Mailing address:
  • Phone: 704-670-4368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number103993361
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: