Healthcare Provider Details

I. General information

NPI: 1669138459
Provider Name (Legal Business Name): DESIREE D MORRELL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2021
Last Update Date: 11/16/2021
Certification Date: 11/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

289 N MAIN ST
WASHINGTON PA
15301-4323
US

IV. Provider business mailing address

289 N MAIN ST
WASHINGTON PA
15301-4323
US

V. Phone/Fax

Practice location:
  • Phone: 724-223-7801
  • Fax: 724-223-7802
Mailing address:
  • Phone: 724-223-7801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN521862L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: