Provider Demographics
NPI:1710095146
Name:MORRIS, SANDRA LYNN (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:LYNN
Last Name:MORRIS
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:245 WINDSWEPT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28716-7126
Mailing Address - Country:US
Mailing Address - Phone:828-648-9198
Mailing Address - Fax:
Practice Address - Street 1:1901 RANDOLPH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1101
Practice Address - Country:US
Practice Address - Phone:704-384-4239
Practice Address - Fax:704-417-4870
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC124027367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered