Provider Demographics
NPI:1912644428
Name:MORRIS, AMY LINN (PA-S)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:LINN
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:MISS
Other - First Name:AMY
Other - Middle Name:LINN
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 664
Mailing Address - Street 2:
Mailing Address - City:FILER
Mailing Address - State:ID
Mailing Address - Zip Code:83328-0664
Mailing Address - Country:US
Mailing Address - Phone:512-516-7494
Mailing Address - Fax:
Practice Address - Street 1:333 CEDAR ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3206
Practice Address - Country:US
Practice Address - Phone:203-432-4771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant