Individual
MRS. DORIS ANN MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
MEDICAL CENTER BLVD., WINSTON SALEM, NC 27157-0001
(336) 713-2555
Mailing address
7575 LASATER RD, CLEMMONS, NC 27012-8431
(336) 766-0827
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
136954
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
136954
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050582
—
NC
Enumeration date
12/09/2005
Last updated
08/22/2017
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