Provider Demographics
NPI:1740680925
Name:MORRIS, REBECCA RAE (CNM WHNP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:RAE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:CNM WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 MEMORIAL ST
Mailing Address - Street 2:
Mailing Address - City:PROSSER
Mailing Address - State:WA
Mailing Address - Zip Code:99350-1524
Mailing Address - Country:US
Mailing Address - Phone:509-756-2222
Mailing Address - Fax:
Practice Address - Street 1:CASSIA REGIONAL HOSPITAL
Practice Address - Street 2:1501 HILAND AVE
Practice Address - City:BURLEY
Practice Address - State:ID
Practice Address - Zip Code:83318
Practice Address - Country:US
Practice Address - Phone:208-678-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-26
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61078345367A00000X
UT357554-4405363LW0102X
ID3961270367A00000X, 363LW0102X
WA61078346363LW0102X
UT357554-4402367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health