Provider Demographics
NPI:1952060071
Name:MORRIS, LEILANI VAUGHNSHEA
Entity Type:Individual
Prefix:
First Name:LEILANI
Middle Name:VAUGHNSHEA
Last Name:MORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1937 SEDONA PASEO LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-8289
Mailing Address - Country:US
Mailing Address - Phone:702-334-0105
Mailing Address - Fax:
Practice Address - Street 1:1937 SEDONA PASEO LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-8289
Practice Address - Country:US
Practice Address - Phone:702-334-0105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide