Healthcare Provider Details

I. General information

NPI: 1558126573
Provider Name (Legal Business Name): OLIVIA TAYLOR MORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2024
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 CLOVERLEAF RD
ELIZABETHTOWN PA
17022-9320
US

IV. Provider business mailing address

117 LADY MORGAN DR
YORK PA
17402-1924
US

V. Phone/Fax

Practice location:
  • Phone: 717-653-1467
  • Fax:
Mailing address:
  • Phone: 717-304-5517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberSP029358
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: