Basic Information
Provider Information
NPI: 1851836175
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORRISSEY
FirstName: SARAH
MiddleName: ELAINE
NamePrefix: MISS
NameSuffix:  
Credential: MS, APRN, FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6620 MAIN ST STE 1325
Address2:  
City: HOUSTON
State: TX
PostalCode: 770302332
CountryCode: US
TelephoneNumber: 7137986376
FaxNumber:  
Practice Location
Address1: 6620 MAIN ST STE 1325
Address2:  
City: HOUSTON
State: TX
PostalCode: 770302332
CountryCode: US
TelephoneNumber: 7137986376
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/21/2016
LastUpdateDate: 11/20/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/20/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAP132229TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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