Provider Demographics
NPI:1669665758
Name:MORRISON, ALICE DOROTHEA (RN)
Entity Type:Individual
Prefix:MS
First Name:ALICE
Middle Name:DOROTHEA
Last Name:MORRISON
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 1:159 WESTMINSTER DR
Mailing Address - Street 2:
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-2826
Mailing Address - Country:US
Mailing Address - Phone:305-852-9539
Mailing Address - Fax:305-853-3279
Practice Address - Street 1:159 WESTMINSTER DR
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2826
Practice Address - Country:US
Practice Address - Phone:305-852-9539
Practice Address - Fax:305-853-3279
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 1467422163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse