Individual
MS. ELLEN PATRICIA MORSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
470 W CLEVELAND, ST. JOHNS, AZ 85936
(918) 333-2683
(928) 333-5595
Mailing address
PO BOX 579, SAINT JOHNS, AZ 85936-0579
(928) 337-4301
(928) 337-2269
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
335358
NY
363LF0000X
Family Nurse Practitioner
RN000000115893
CO
363LF0000X
Family Nurse Practitioner
Primary
RN069943
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0609250
BLUECROSS BLUESHIELD PROVIDER
AZ
01
—
Z78372
MEDICARE LEGACY
AZ
Enumeration date
09/21/2005
Last updated
05/07/2008
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