Basic Information
Provider Information
NPI: 1245802743
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORRISON
FirstName: ELIZABETH
MiddleName: ELLEN
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 2501 N ORANGE AVE STE 401
Address2:  
City: ORLANDO
State: FL
PostalCode: 328044644
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 601 E ROLLINS ST
Address2:  
City: ORLANDO
State: FL
PostalCode: 328031248
CountryCode: US
TelephoneNumber: 4073037283
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/14/2021
LastUpdateDate: 10/08/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/08/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LG0600XAPRN11014268FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
363LA2100XAPRN11014268FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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