Provider Demographics
NPI:1689644148
Name:MCMORROW, CAROL K (ARNP)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:K
Last Name:MCMORROW
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15696 93RD LN N
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33478-9301
Mailing Address - Country:US
Mailing Address - Phone:800-755-8895
Mailing Address - Fax:
Practice Address - Street 1:15696 93RD LN N
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33478
Practice Address - Country:US
Practice Address - Phone:800-755-8895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL989762363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY6235ZMedicare ID - Type Unspecified
Q11404Medicare UPIN