Provider Demographics
NPI:1801696232
Name:MORRISON, TRICIA ANN (INDEPENDENT PROVIDER)
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:ANN
Last Name:MORRISON
Suffix:
Gender:
Credentials:INDEPENDENT PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 WISE AVE SE
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-3166
Mailing Address - Country:US
Mailing Address - Phone:330-312-4400
Mailing Address - Fax:
Practice Address - Street 1:123 WISE AVE SE
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-3166
Practice Address - Country:US
Practice Address - Phone:330-312-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH76112473747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant