Healthcare Provider Details

I. General information

NPI: 1033499207
Provider Name (Legal Business Name): ANNE MARIE MORSE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNE MARIE SANTILLI D.O.

II. Dates (important events)

Enumeration Date: 08/19/2011
Last Update Date: 11/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE
DANVILLE PA
17822-1405
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-4903
US

V. Phone/Fax

Practice location:
  • Phone: 570-271-6012
  • Fax: 570-271-7923
Mailing address:
  • Phone: 570-271-6144
  • Fax: 570-271-6578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA-1886-15
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberA-1886-15
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: