Provider Demographics
NPI:1487903969
Name:MORROW, BRANDE LEE GUZAK
Entity type:Individual
Prefix:
First Name:BRANDE
Middle Name:LEE GUZAK
Last Name:MORROW
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 1:1000 MOUNT PLEASANT RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-3711
Mailing Address - Country:US
Mailing Address - Phone:757-482-5820
Mailing Address - Fax:757-482-5095
Practice Address - Street 1:1000 MOUNT PLEASANT RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-3711
Practice Address - Country:US
Practice Address - Phone:757-482-5820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker