Basic Information
Provider Information
NPI: 1124468061
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORROW
FirstName: BRITTANY
MiddleName: O'STEEN
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2510 LAKELAND DR
Address2:  
City: FLOWOOD
State: MS
PostalCode: 392329513
CountryCode: US
TelephoneNumber: 6013551234
FaxNumber: 6013524882
Practice Location
Address1: 2510 LAKELAND DR
Address2:  
City: FLOWOOD
State: MS
PostalCode: 392329513
CountryCode: US
TelephoneNumber: 6013551234
FaxNumber: 6013524882
Other Information
ProviderEnumerationDate: 06/25/2013
LastUpdateDate: 06/23/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/23/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000XR880018MSY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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