Basic Information
| Provider Information | |||||||||
| NPI: | 1174617385 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MORROW | ||||||||
| FirstName: | PEGGY | ||||||||
| MiddleName: | SUSAN | ||||||||
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| Credential: | APN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3805 MCCAIN PARK DR 116 | ||||||||
| Address2: | |||||||||
| City: | NORTH LITTLE ROCK | ||||||||
| State: | AR | ||||||||
| PostalCode: | 721167813 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5017589993 | ||||||||
| FaxNumber: | 5017714885 | ||||||||
| Practice Location | |||||||||
| Address1: | 3805 MCCAIN PARK DR 116 | ||||||||
| Address2: | |||||||||
| City: | NORTH LITTLE ROCK | ||||||||
| State: | AR | ||||||||
| PostalCode: | 721167813 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5017714693 | ||||||||
| FaxNumber: | 5017714885 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2006 | ||||||||
| LastUpdateDate: | 09/02/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0809X | CNS501007 | AR | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health, Adult |
No ID Information.