Healthcare Provider Details
I. General information
NPI: 1801014337
Provider Name (Legal Business Name): CONSTANCE ANN MORRISON ATTORNEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/22/2007
Last Update Date: 08/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15 TOWN WEST RED
PLYMOUTH NH
03264-1565
US
IV. Provider business mailing address
255 ROUTE 108
SOMERSWORTH NH
03878-1543
US
V. Phone/Fax
- Phone: 603-536-1552
- Fax:
- Phone: 603-692-3166
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 03817821 |
| License Number State | NH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: