Provider Demographics
NPI:1194945576
Name:MORRIS, TOSHA S (STNA)
Entity type:Individual
Prefix:
First Name:TOSHA
Middle Name:S
Last Name:MORRIS
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14163 US HWY 52
Mailing Address - Street 2:
Mailing Address - City:WEST PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45663
Mailing Address - Country:US
Mailing Address - Phone:740-250-2106
Mailing Address - Fax:
Practice Address - Street 1:14163 US HIGHWAY 52
Practice Address - Street 2:
Practice Address - City:WEST PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45663-9095
Practice Address - Country:US
Practice Address - Phone:740-250-2106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400327060204376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2697907OtherSTNA