Provider Demographics
NPI:1962455675
Name:MORPHIS, LINDA O (NP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:O
Last Name:MORPHIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:ORDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:6941 N TRENHOLM RD
Mailing Address - Street 2:SUITE M
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-1715
Mailing Address - Country:US
Mailing Address - Phone:803-782-1002
Mailing Address - Fax:803-782-5544
Practice Address - Street 1:6941 N TRENHOLM RD
Practice Address - Street 2:SUITE M
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29206-1715
Practice Address - Country:US
Practice Address - Phone:803-781-1002
Practice Address - Fax:803-782-5544
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPN1424363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP0096Medicaid
S11384Medicare UPIN