Provider Demographics
NPI:1518793199
Name:MORIN, DAVID DWAYNE (MAA, BSN, RN, CCRN)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:DWAYNE
Last Name:MORIN
Suffix:
Gender:M
Credentials:MAA, BSN, RN, CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7006 COMANCHE STAR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-3037
Mailing Address - Country:US
Mailing Address - Phone:334-447-3333
Mailing Address - Fax:
Practice Address - Street 1:7006 COMANCHE STAR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-3037
Practice Address - Country:US
Practice Address - Phone:334-447-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX966727163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult