Provider Demographics
NPI:1154425734
Name:MORRIS, RUTH A (CRNA)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:A
Last Name:MORRIS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10437 W 125TH TER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-2172
Mailing Address - Country:US
Mailing Address - Phone:913-681-2457
Mailing Address - Fax:913-851-3754
Practice Address - Street 1:10437 W 125TH TER
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-2172
Practice Address - Country:US
Practice Address - Phone:913-681-2457
Practice Address - Fax:913-851-3754
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS54174367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1154425734Medicaid
KS19815203OtherBCBS KC
KSP00939873OtherRR MEDICARE
KS100426290GMedicaid