Physician Compare National (NPI:1588074876)

HEALTHCARE PROVIDER: SUZANNE MORRIS NP, RNFA

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1588074876
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6800132028
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190109001707
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MORRIS
	Individual professional last name
Provider First Name	SUZANNE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2018
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	690 N COFCO CTR CT
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 150
	Group Practice or individual's line 2 address
City	PHOENIX
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	850086469
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6029106839
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	030131
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	O.A.S.I.S. HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y