Healthcare Provider Details

I. General information

NPI: 1962352716
Provider Name (Legal Business Name): CHRISTINA MAE MORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELICA SUE BURUM

II. Dates (important events)

Enumeration Date: 01/31/2026
Last Update Date: 01/31/2026
Certification Date: 01/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2663 N 3975 W
PLAIN CITY UT
84404-8078
US

IV. Provider business mailing address

2567 S 4850 W
WEST HAVEN UT
84401-9657
US

V. Phone/Fax

Practice location:
  • Phone: 385-590-6842
  • Fax:
Mailing address:
  • Phone: 385-590-6842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number5546338-1103
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: