Doctor Name: | MRS. BODIL LYNN MORRIS |
NPI Number: | 1023056207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | R081714 |
Business Practice Address: | 13801 Belle Chasse Blvd Unit 211 Laurel, MD - 207076386 |
Business Phone Number: | 4072325062 |
Business Fax Number: | |
Mailing Address: | 7601 Carroll Ave, Suite 280 TAKOMA PARK |
State: | MD |
Postal Code: | 209126386 |
Phone Number: | 3018916100 |
Fax Number: | 3018915836 |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 05/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | R081714 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |