Provider Demographics
NPI:1902957236
Name:MORRISON, DENICE ANN (RN)
Entity type:Individual
Prefix:MRS
First Name:DENICE
Middle Name:ANN
Last Name:MORRISON
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 1:36850 W 164TH ST
Mailing Address - Street 2:
Mailing Address - City:RAYVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64084-8119
Mailing Address - Country:US
Mailing Address - Phone:816-470-7605
Mailing Address - Fax:816-883-2010
Practice Address - Street 1:834 W KANSAS ST
Practice Address - Street 2:SUITE B
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-2033
Practice Address - Country:US
Practice Address - Phone:816-883-2004
Practice Address - Fax:816-883-2010
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO076496163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care