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NPI Code Detail

MEDICARE: MARY KAY MORRISON ARNP

MEDICARE: MARY KAY MORRISON ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerARNP1073562FL

General Provider Information

NPI Number : 1356311872
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY KAY MORRISON ARNP
Provider Business Mailing Address
First Line : 966 LAKESIDE DR
Second Line :
City : APOPKA
State : FL
Zip : 32712-8113
Country : US
Telephone Number : 407-886-7727
Fax Number :
Provider Business Practice Location Address
First Line : 5650 RED BUG LAKE RD
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-4904
Country : US
Telephone Number : 407-699-0781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 07/08/2007

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