Provider Demographics
NPI:1437156767
Name:MORROZOFF, WILLIAM GAINEY JR (FNP-BC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:GAINEY
Last Name:MORROZOFF
Suffix:JR
Gender:M
Credentials:FNP-BC
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Other - Credentials:
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:PARKTON
Mailing Address - State:NC
Mailing Address - Zip Code:28371-0128
Mailing Address - Country:US
Mailing Address - Phone:910-858-3913
Mailing Address - Fax:910-858-3610
Practice Address - Street 1:15 W THIRD ST
Practice Address - Street 2:
Practice Address - City:PARKTON
Practice Address - State:NC
Practice Address - Zip Code:28371-0128
Practice Address - Country:US
Practice Address - Phone:910-858-3913
Practice Address - Fax:910-858-3610
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2011-04-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC201042363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2599170DOtherMEDICARE PTAN
P00320Medicare UPIN