Provider Demographics
NPI:1720053366
Name:MORRISON, NANCY L (CRNA)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:L
Last Name:MORRISON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9115 DEARBORN ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-2418
Mailing Address - Country:US
Mailing Address - Phone:913-381-3372
Mailing Address - Fax:
Practice Address - Street 1:9115 DEARBORN ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66207-2418
Practice Address - Country:US
Practice Address - Phone:913-381-3372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS54193367500000X
MO102293367500000X, 163W00000X
KS1339938031163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse