Healthcare Provider Details

I. General information

NPI: 1720547037
Provider Name (Legal Business Name): ANN-MARIE MORRISON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2019
Last Update Date: 03/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 COLUMBIA CT
MIDDLETOWN RI
02842-4402
US

IV. Provider business mailing address

46 COLUMBIA CT
MIDDLETOWN RI
02842-4402
US

V. Phone/Fax

Practice location:
  • Phone: 904-238-1872
  • Fax:
Mailing address:
  • Phone: 904-239-1872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number59219
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: