Provider Demographics
NPI:1881459691
Name:MORRISON, ROXANNE (RN,CD,PCP(DONA))
Entity type:Individual
Prefix:
First Name:ROXANNE
Middle Name:
Last Name:MORRISON
Suffix:
Gender:F
Credentials:RN,CD,PCP(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7048 SHERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19151-2325
Mailing Address - Country:US
Mailing Address - Phone:267-879-5268
Mailing Address - Fax:
Practice Address - Street 1:235 E. LANCASTER AVENUE
Practice Address - Street 2:
Practice Address - City:DEVON
Practice Address - State:PA
Practice Address - Zip Code:19333
Practice Address - Country:US
Practice Address - Phone:484-551-3366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-20
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA374J00000X
PARN784056163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No374J00000XNursing Service Related ProvidersDoula