Doctor Name: | MISS CODY N MORIN |
NPI Number: | 1619234630 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9194936 |
Business Practice Address: | 301 Justice Ln Bunnell, FL - 321104487 |
Business Phone Number: | 8005394228 |
Business Fax Number: | |
Mailing Address: | 1220 Willis Ave, DAYTONA BEACH |
State: | FL |
Postal Code: | 321142810 |
Phone Number: | 1800539422 |
Fax Number: | |
NPI Enumeration Date: | 04/15/2012 |
NPI Last Update Date: | 06/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | ARNP9194936 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |