Healthcare Provider Details

I. General information

NPI: 1023936507
Provider Name (Legal Business Name): BETTY MORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 SELMI DR
RENO NV
89512-4800
US

IV. Provider business mailing address

1855 SELMI DR APT J269
RENO NV
89512-4771
US

V. Phone/Fax

Practice location:
  • Phone: 775-247-5994
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number900751
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: