=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154425734
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RUTH A MORRIS CRNA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/12/2006
-----------------------------------------------------
Last Update Date | 11/30/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10437 W 125TH TER
-----------------------------------------------------
City | OVERLAND PARK
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66213-2172
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-681-2457
-----------------------------------------------------
Fax | 913-851-3754
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10437 W 125TH TER
-----------------------------------------------------
City | OVERLAND PARK
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66213-2172
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-681-2457
-----------------------------------------------------
Fax | 913-851-3754
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 367500000X
-----------------------------------------------------
Taxonomy Name | Certified Registered Nurse Anesthetist
-----------------------------------------------------
License Number | 54174
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------