Provider Demographics
NPI:1831792720
Name:MORRIS, ADINA TEODORA (FNP-C)
Entity type:Individual
Prefix:MS
First Name:ADINA
Middle Name:TEODORA
Last Name:MORRIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6720 E CAMINO PRINCIPAL STE 202
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-3900
Mailing Address - Country:US
Mailing Address - Phone:520-333-5540
Mailing Address - Fax:
Practice Address - Street 1:6720 E CAMINO PRINCIPAL STE 202
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-3900
Practice Address - Country:US
Practice Address - Phone:520-333-5540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-21
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ246808363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZF07201987OtherAANP