Provider Demographics
NPI:1841745262
Name:MORRIS, TONYA (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 KING ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-2130
Mailing Address - Country:US
Mailing Address - Phone:313-876-8511
Mailing Address - Fax:
Practice Address - Street 1:445 KING ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2130
Practice Address - Country:US
Practice Address - Phone:313-876-8511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704303332174H00000X, 163WC0400X, 163WC1500X, 163WD0400X, 163WG0000X, 163WI0600X, 163WL0100X, 163WM0102X, 163WN1003X, 163WP0808X, 171M00000X, 172V00000X, 373H00000X
171W00000X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No174H00000XOther Service ProvidersHealth Educator
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WI0600XNursing Service ProvidersRegistered NurseInfection Control
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No171W00000XOther Service ProvidersContractor
No172V00000XOther Service ProvidersCommunity Health Worker
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No374J00000XNursing Service Related ProvidersDoula