Provider Demographics
NPI:1053073064
Name:MORRIS, ANDREA JOY (PNP-PC)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:JOY
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 N DOBSON RD STE A18
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-4237
Mailing Address - Country:US
Mailing Address - Phone:480-821-1400
Mailing Address - Fax:
Practice Address - Street 1:595 N DOBSON RD STE A18
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-4237
Practice Address - Country:US
Practice Address - Phone:480-821-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-07
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ238338363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics