Provider Demographics
NPI:1942671490
Name:MORRIS, DIANA E (NP)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:E
Last Name:MORRIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:E
Other - Last Name:GUARIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:1991 SPROUL RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-3512
Mailing Address - Country:US
Mailing Address - Phone:484-421-1669
Mailing Address - Fax:610-886-0164
Practice Address - Street 1:1991 SPROUL RD
Practice Address - Street 2:SUITE 600
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-3512
Practice Address - Country:US
Practice Address - Phone:484-421-1669
Practice Address - Fax:610-886-0164
Is Sole Proprietor?:No
Enumeration Date:2015-10-09
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016193363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner