Provider Demographics
NPI:1578171070
Name:MORRIS, FIONA LOUISE (LPN)
Entity Type:Individual
Prefix:
First Name:FIONA
Middle Name:LOUISE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1252 HARDWOOD LANE
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-9403
Mailing Address - Country:US
Mailing Address - Phone:585-217-7124
Mailing Address - Fax:
Practice Address - Street 1:1252 HARDWOOD LANE
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-9403
Practice Address - Country:US
Practice Address - Phone:585-217-7124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237250-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty