Individual
PATRICIA K MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
17632
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001706470
MSBCBS GROUP
WV
01
—
001720738
MOUNTAIN STATE BCBS
WV
05
—
0065481000
—
WV
05
—
0207026000
—
WV
01
—
1005755
BRICKSTREET INDIVIDUAL
WV
01
—
27005299700
WORKERS COMP
WV
01
—
270052997004
TRICARE
WV
01
—
27005299701
BRICKSTREET
WV
01
—
DA0096
RR MEDICARE
WV
01
—
P00142893
RR MEDICARE
WV
01
—
WORKERS COMP
27005299700
WV
Enumeration date
06/08/2006
Last updated
05/16/2008
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