Provider Demographics
NPI:1699928747
Name:MOROVIA, PHILIP (RN)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:
Last Name:MOROVIA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2665 WALLCREST BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-4886
Mailing Address - Country:US
Mailing Address - Phone:614-271-2436
Mailing Address - Fax:
Practice Address - Street 1:2665 WALLCREST BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4886
Practice Address - Country:US
Practice Address - Phone:614-271-2436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-02
Last Update Date:2008-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN . 328676163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical