Individual
ARLISA HEAVENLY MORRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
6339 MILL ST, RHINEBECK, NY 12572-1427
(845) 871-1057
Mailing address
6339 MILL ST, RHINEBECK, NY 12572-1427
(845) 871-1057
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
715510
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
715510
RN LISCENSE
NY
Enumeration date
11/06/2018
Last updated
11/06/2018
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