Provider Demographics
NPI:1003107574
Name:MORRIS, ADAM RICHARD (RN)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:RICHARD
Last Name:MORRIS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2875 LANGDON FARM RD.
Mailing Address - Street 2:APT #4
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212
Mailing Address - Country:US
Mailing Address - Phone:513-658-2729
Mailing Address - Fax:
Practice Address - Street 1:2875 LANGDON FARM RD
Practice Address - Street 2:APT 4
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-1337
Practice Address - Country:US
Practice Address - Phone:513-658-2729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH354186163WM0705X
TX208988164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No164X00000XNursing Service ProvidersLicensed Vocational Nurse