Basic Information
Provider Information
NPI: 1023355120
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORROW
FirstName: ANDREA
MiddleName: DAWN
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 626 LAKEVIEW RD
Address2:  
City: CLEARWATER
State: FL
PostalCode: 337563359
CountryCode: US
TelephoneNumber: 7274498331
FaxNumber: 7274461810
Practice Location
Address1: 626 LAKEVIEW RD
Address2:  
City: CLEARWATER
State: FL
PostalCode: 337563359
CountryCode: US
TelephoneNumber: 7274498331
FaxNumber: 7274461810
Other Information
ProviderEnumerationDate: 01/09/2013
LastUpdateDate: 02/24/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/24/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  N Behavioral Health & Social Service ProvidersCounselorMental Health
363LP0808XARNP 9372234FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

ID Information
IDTypeStateIssuerDescription
10714470005FL MEDICAID


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