MEDICARE: JOSEPH HARMON MORELL CRNA

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	367500000X	Certified Registered Nurse Anesthetist	95001619	CA

General Provider Information

NPI Number	:	1942966106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH HARMON MORELL CRNA

Provider Business Mailing Address
First Line	:	PO BOX 2288
Second Line	:
City	:	AVILA BEACH
State	:	CA
Zip	:	93424-2288
Country	:	US
Telephone Number	:	805-245-8008
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 E CYPRESS ST STE E
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93454-4728
Country	:	US
Telephone Number	:	805-361-5088
Fax Number	:	805-361-5079

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

Provider Enumeration Date	:	11/11/2021
Last Update Date	:	11/11/2021

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Directions to “ JOSEPH HARMON MORELL CRNA” Practice Location

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