Provider Demographics
NPI:1568735561
Name:MORRIS, EVELYN KAY (RN)
Entity Type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:KAY
Last Name:MORRIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 S. 400 W.
Mailing Address - Street 2:
Mailing Address - City:PIMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85543
Mailing Address - Country:US
Mailing Address - Phone:928-485-2759
Mailing Address - Fax:928-485-9422
Practice Address - Street 1:150 SOUTH 300 WEST
Practice Address - Street 2:
Practice Address - City:PIMA
Practice Address - State:AZ
Practice Address - Zip Code:85543
Practice Address - Country:US
Practice Address - Phone:928-485-2759
Practice Address - Fax:928-485-9422
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN034647163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse