Provider Demographics
NPI:1992836860
Name:MORROW, CHARLOTTE TERESA (LPN)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:TERESA
Last Name:MORROW
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3309 E 125TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-3855
Mailing Address - Country:US
Mailing Address - Phone:216-991-4774
Mailing Address - Fax:
Practice Address - Street 1:3309 E 125TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-3855
Practice Address - Country:US
Practice Address - Phone:216-991-4774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH110525164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse