Provider Demographics
NPI:1023355120
Name:MORROW, ANDREA DAWN (APRN)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:DAWN
Last Name:MORROW
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 LAKEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3359
Mailing Address - Country:US
Mailing Address - Phone:727-449-8331
Mailing Address - Fax:727-446-1810
Practice Address - Street 1:626 LAKEVIEW RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3359
Practice Address - Country:US
Practice Address - Phone:727-449-8331
Practice Address - Fax:727-446-1810
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FLARNP 9372234363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107144700Medicaid