Provider Demographics
NPI:1649785312
Name:MORROW, HEATHER (ARNP)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:MORROW
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 SE BISHOP BLVD SUITE 601
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-5517
Mailing Address - Country:US
Mailing Address - Phone:509-334-5876
Mailing Address - Fax:509-332-8793
Practice Address - Street 1:825 SE BISHOP BLVD SUITE 601
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-5517
Practice Address - Country:US
Practice Address - Phone:509-334-5876
Practice Address - Fax:509-332-8793
Is Sole Proprietor?:No
Enumeration Date:2017-12-04
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60799109363L00000X
ID57247363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAP60799109OtherWASHINGTON LICENSE
IDCS46883OtherIDAHO LICENSE- IDAHO BOARD OF PHARMACY