Provider Demographics
NPI:1497371884
Name:MORNING, SHANNON A
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:A
Last Name:MORNING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 MORTON ST NW APT 13
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2565
Mailing Address - Country:US
Mailing Address - Phone:202-766-7761
Mailing Address - Fax:
Practice Address - Street 1:4850 CONNECUIT AVE NW
Practice Address - Street 2:503
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008
Practice Address - Country:US
Practice Address - Phone:202-210-1116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant