Provider Demographics
NPI:1598914632
Name:MORRIS, VANETTA SHENELL-DUNN
Entity Type:Individual
Prefix:MRS
First Name:VANETTA
Middle Name:SHENELL-DUNN
Last Name:MORRIS
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 1:205 BERTIE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-2403
Mailing Address - Country:US
Mailing Address - Phone:443-925-4538
Mailing Address - Fax:
Practice Address - Street 1:205 BERTIE DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-2403
Practice Address - Country:US
Practice Address - Phone:443-925-4538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic