Provider Demographics
NPI:1407005523
Name:MORRIS, MARGARET D (ARNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:D
Last Name:MORRIS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 YAKIMA AVE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-5307
Mailing Address - Country:US
Mailing Address - Phone:253-627-6731
Mailing Address - Fax:253-627-1064
Practice Address - Street 1:1708 YAKIMA AVE
Practice Address - Street 2:SUITE 112
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-5307
Practice Address - Country:US
Practice Address - Phone:253-627-6731
Practice Address - Fax:253-627-1064
Is Sole Proprietor?:No
Enumeration Date:2008-09-12
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN001684455163W00000X
WAAP60049077363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9658584OtherDSHS
WA0240601OtherL&I
WA0241354OtherL&I
WA0240599OtherL&I
WAG8876402Medicare PIN
WAG8876403Medicare PIN
WA0240601OtherL&I