Provider Demographics
NPI:1184214082
Name:MORROW, HEATHER ANN-MARIE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANN-MARIE
Last Name:MORROW
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3954
Mailing Address - Country:US
Mailing Address - Phone:215-789-6264
Mailing Address - Fax:215-754-4695
Practice Address - Street 1:891 BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3954
Practice Address - Country:US
Practice Address - Phone:215-789-6264
Practice Address - Fax:215-754-4695
Is Sole Proprietor?:No
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0011560363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner