Provider Demographics
NPI:1417297367
Name:MORSE, GLORIA R (CNA)
Entity Type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:R
Last Name:MORSE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:GLORIA
Other - Middle Name:R
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 307
Mailing Address - Street 2:APT 501
Mailing Address - City:ELKTON
Mailing Address - State:FL
Mailing Address - Zip Code:32033-0400
Mailing Address - Country:US
Mailing Address - Phone:904-392-4634
Mailing Address - Fax:904-512-0488
Practice Address - Street 1:28 N WHITNEY ST APT 501
Practice Address - Street 2:APT 501
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084-0623
Practice Address - Country:US
Practice Address - Phone:904-392-4634
Practice Address - Fax:904-512-0488
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-28
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3747A0650X, 374U00000X
FLCNA148989376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No374U00000XNursing Service Related ProvidersHome Health Aide