MEDICARE: DANIELLE A MORRIS

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
1	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00000	OTHER	OH	LICENSURE BOARD

General Provider Information

NPI Number	:	1710607908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE A MORRIS

Provider Business Mailing Address
First Line	:	3143 GLENMORE AVE APT 8
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-6447
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3143 GLENMORE AVE APT 8
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-6447
Country	:	US
Telephone Number	:	855-577-7284
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2022
Last Update Date	:	01/16/2024

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