Provider Demographics
NPI:1679015259
Name:MORFORD, KATHERINE (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:MORFORD
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 MIZELL AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-5131
Mailing Address - Country:US
Mailing Address - Phone:407-375-4673
Mailing Address - Fax:
Practice Address - Street 1:10743 NARCOOSSEE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-6944
Practice Address - Country:US
Practice Address - Phone:407-375-4673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-14
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH019576363LP0200X
FL9447521363LP0200X
OH371708163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse