Provider Demographics
NPI:1174312441
Name:MORRISON, MARY JULIA
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:JULIA
Last Name:MORRISON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 E ALBERT ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-1601
Mailing Address - Country:US
Mailing Address - Phone:419-204-9644
Mailing Address - Fax:419-204-9644
Practice Address - Street 1:519 E ALBERT ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-1601
Practice Address - Country:US
Practice Address - Phone:419-204-9644
Practice Address - Fax:419-204-9644
Is Sole Proprietor?:No
Enumeration Date:2025-05-03
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker