Provider Demographics
NPI:1629221726
Name:MORRISON, BRENDA ANN (LPN)
Entity type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:ANN
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3502 N OLSEN AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-2018
Mailing Address - Country:US
Mailing Address - Phone:520-690-0244
Mailing Address - Fax:
Practice Address - Street 1:3502 N OLSEN AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2018
Practice Address - Country:US
Practice Address - Phone:520-690-0244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLP032728164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse