Healthcare Provider Details

I. General information

NPI: 1528509015
Provider Name (Legal Business Name): LISA MORRIS R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2017
Last Update Date: 03/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3595 HWY. 50 WEST, SUITE 3
SILVER SPRINGS NV
89429
US

IV. Provider business mailing address

3595 HWY 50 WEST, SUITE 3
SILVER SPRINGS NV
89429
US

V. Phone/Fax

Practice location:
  • Phone: 775-577-0319
  • Fax: 775-577-9571
Mailing address:
  • Phone: 775-577-0319
  • Fax: 775-577-9571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN32894
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN32894
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: