Healthcare Provider Details

I. General information

NPI: 1043445331
Provider Name (Legal Business Name): AMY VIRGINIA MORRIS APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY VIRGINIA MORRIS NNP

II. Dates (important events)

Enumeration Date: 05/15/2009
Last Update Date: 04/08/2024
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 W WISCONSIN AVE
MILWAUKEE WI
53226-4874
US

IV. Provider business mailing address

9000 W WISCONSIN AVE
MILWAUKEE WI
53226-4874
US

V. Phone/Fax

Practice location:
  • Phone: 414-266-6820
  • Fax: 414-266-6979
Mailing address:
  • Phone: 414-266-6820
  • Fax: 414-266-6979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number2008030766
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number7764
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: