Provider Demographics
NPI:1750160735
Name:MORRIS, ELIZABETH MAE (RN)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MAE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:MAE
Other - Last Name:TIMKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:40951 N LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85140-7880
Mailing Address - Country:US
Mailing Address - Phone:559-639-9996
Mailing Address - Fax:
Practice Address - Street 1:40951 N LINDEN ST
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85140-7880
Practice Address - Country:US
Practice Address - Phone:559-639-9996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN199620163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency