Provider Demographics
NPI:1972872158
Name:MORRIS, TERIE (MSN, FNP)
Entity Type:Individual
Prefix:
First Name:TERIE
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 N 100 W
Mailing Address - Street 2:
Mailing Address - City:VERNAL
Mailing Address - State:UT
Mailing Address - Zip Code:84078-2011
Mailing Address - Country:US
Mailing Address - Phone:435-789-4449
Mailing Address - Fax:435-789-4450
Practice Address - Street 1:35 N 100 W
Practice Address - Street 2:
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-2011
Practice Address - Country:US
Practice Address - Phone:435-789-4449
Practice Address - Fax:435-789-4450
Is Sole Proprietor?:No
Enumeration Date:2011-12-18
Last Update Date:2011-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT216140-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily