Provider Demographics
NPI:1386937043
Name:MORRIS, PATRICIA PAYNE (CSA, CRNFA)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:PAYNE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:CSA, CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:961 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:EASTABOGA
Mailing Address - State:AL
Mailing Address - Zip Code:36260-7023
Mailing Address - Country:US
Mailing Address - Phone:256-310-7972
Mailing Address - Fax:256-835-4728
Practice Address - Street 1:961 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:EASTABOGA
Practice Address - State:AL
Practice Address - Zip Code:36260-7023
Practice Address - Country:US
Practice Address - Phone:256-310-7972
Practice Address - Fax:256-835-4728
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-26
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1095648163WR0006X
AL4803246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant