Provider Demographics
NPI:1164419271
Name:MORROW, LAURA L (RN, CNP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:L
Last Name:MORROW
Suffix:
Gender:F
Credentials:RN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 LONGWATER DRIVE
Mailing Address - Street 2:SUITE 504
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061
Mailing Address - Country:US
Mailing Address - Phone:781-792-4191
Mailing Address - Fax:781-878-6750
Practice Address - Street 1:143 LONGWATER DRIVE
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061
Practice Address - Country:US
Practice Address - Phone:781-792-4191
Practice Address - Fax:781-878-6750
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN193943363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
04-2297845OtherTRICARE
04-2297845OtherUNITED HEALTH CARE
MA1164419271OtherNEIGHBOR HEALTH PLAN
MA11644199271OtherBLUE CROSS BLUE SHIELD OF MA
MA11644199271OtherFALLON
04-2297845OtherMULTI-PLAN
MA110099132AMedicaid
MA1164419271OtherNEIGHBOR HEALTH PLAN
MA11644199271OtherFALLON