Provider Demographics
NPI:1528489879
Name:MORRIS, TERI (RN)
Entity type:Individual
Prefix:MS
First Name:TERI
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 SHADOW LN STE 208
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4358
Mailing Address - Country:US
Mailing Address - Phone:702-759-0918
Mailing Address - Fax:702-868-2821
Practice Address - Street 1:400 SHADOW LN STE 208
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4358
Practice Address - Country:US
Practice Address - Phone:702-759-0918
Practice Address - Fax:702-868-2821
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-03
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN30669251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management