Provider Demographics
NPI:1174874853
Name:MORRELL, KALLIOPE M (APN)
Entity type:Individual
Prefix:
First Name:KALLIOPE
Middle Name:M
Last Name:MORRELL
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:KALLIOPE
Other - Middle Name:M
Other - Last Name:PSARADAKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9470 HEALTHPARK CIR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-3600
Mailing Address - Country:US
Mailing Address - Phone:239-482-4673
Mailing Address - Fax:239-333-1191
Practice Address - Street 1:9470 HEALTHPARK CIR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-3600
Practice Address - Country:US
Practice Address - Phone:239-433-8073
Practice Address - Fax:239-482-7897
Is Sole Proprietor?:No
Enumeration Date:2012-09-21
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-009770363LA2200X
FLAPRN11005147363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health