Healthcare Provider Details

I. General information

NPI: 1962330860
Provider Name (Legal Business Name): KATHERINE RENEE MORRIS LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3720 FRANCES ST
OMAHA NE
68105-3178
US

IV. Provider business mailing address

2414 S 31ST ST
OMAHA NE
68105-3106
US

V. Phone/Fax

Practice location:
  • Phone: 402-210-7139
  • Fax:
Mailing address:
  • Phone: 402-415-8997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number21139
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: