Provider Demographics
NPI:1386960086
Name:MORSCHHAUSER, MERRYLEE GROSSO (CNM)
Entity type:Individual
Prefix:
First Name:MERRYLEE
Middle Name:GROSSO
Last Name:MORSCHHAUSER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:MERRYLEE
Other - Middle Name:G
Other - Last Name:GROSSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:319 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3044
Mailing Address - Country:US
Mailing Address - Phone:267-294-1020
Mailing Address - Fax:
Practice Address - Street 1:1138 GEORGETOWN ROAD
Practice Address - Street 2:
Practice Address - City:BART
Practice Address - State:PA
Practice Address - Zip Code:17503-0152
Practice Address - Country:US
Practice Address - Phone:717-786-5506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-20
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW010217176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife