Provider Demographics
NPI:1518785351
Name:MORRISON, ERIN ELAINE (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:ELAINE
Last Name:MORRISON
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BUILDING 390 NORTH LOOP RD
Mailing Address - Street 2:
Mailing Address - City:FT IRWIN
Mailing Address - State:CA
Mailing Address - Zip Code:92310
Mailing Address - Country:US
Mailing Address - Phone:760-383-5225
Mailing Address - Fax:760-383-5128
Practice Address - Street 1:BUILDING 390 NORTH LOOP RD
Practice Address - Street 2:
Practice Address - City:FT IRWIN
Practice Address - State:CA
Practice Address - Zip Code:92310-5109
Practice Address - Country:US
Practice Address - Phone:760-383-5225
Practice Address - Fax:760-383-5128
Is Sole Proprietor?:No
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAL-164689163WL0100X
TX906547163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant