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NPI Code Detail

MEDICARE: COURTNEY MORRIS CRNA, DNP

MEDICARE: COURTNEY MORRIS CRNA, DNP
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
1163W00000XRegistered Nurse463239OH
2367500000XCertified Registered Nurse AnesthetistAPRN.CRNA.0021046OH

General Provider Information

NPI Number : 1679335509
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY MORRIS CRNA, DNP
Provider Business Mailing Address
First Line : 1320 W MAIN ST
Second Line :
City : NEWARK
State : OH
Zip : 43055-1822
Country : US
Telephone Number : 220-564-4218
Fax Number :
Provider Business Practice Location Address
First Line : 1320 W MAIN ST
Second Line :
City : NEWARK
State : OH
Zip : 43055-3699
Country : US
Telephone Number : 220-564-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2024
Last Update Date : 07/15/2024

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