Provider Demographics
NPI:1942582994
Name:MORRIS, CHANDA J (CRNA)
Entity type:Individual
Prefix:
First Name:CHANDA
Middle Name:J
Last Name:MORRIS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CHANDA
Other - Middle Name:JANEL
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:210 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCIS
Mailing Address - State:KS
Mailing Address - Zip Code:67756-3540
Mailing Address - Country:US
Mailing Address - Phone:853-322-1047
Mailing Address - Fax:
Practice Address - Street 1:210 W 1ST ST
Practice Address - Street 2:
Practice Address - City:SAINT FRANCIS
Practice Address - State:KS
Practice Address - Zip Code:67756-3540
Practice Address - Country:US
Practice Address - Phone:785-332-2104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK00084720367500000X
KS557308367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered