Provider Demographics
NPI:1215193248
Name:MORRIS, TRACI (CNM)
Entity Type:Individual
Prefix:
First Name:TRACI
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1192 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-3301
Mailing Address - Country:US
Mailing Address - Phone:908-398-3998
Mailing Address - Fax:908-271-6068
Practice Address - Street 1:1192 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-3301
Practice Address - Country:US
Practice Address - Phone:908-688-7944
Practice Address - Fax:908-271-6068
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00045601207V00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology