Provider Demographics
NPI:1770287625
Name:MORRIS, PATRICIA ANNE (LPN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANNE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:ANNE
Other - Last Name:DEMBROSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10525 LYNCHES RIVER RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29080-9320
Mailing Address - Country:US
Mailing Address - Phone:734-693-2623
Mailing Address - Fax:
Practice Address - Street 1:1451 RETAIL ROW
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550-4258
Practice Address - Country:US
Practice Address - Phone:843-309-9385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC54498164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse