1336237965 NPI number — DR. ANNE HANNA MORRIS MD

Table of content: DR. ANNE HANNA MORRIS MD (NPI 1336237965)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336237965 NPI number — DR. ANNE HANNA MORRIS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORRIS
Provider First Name:
ANNE
Provider Middle Name:
HANNA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
VOGT
Provider Other First Name:
ANNE
Provider Other Middle Name:
HANNA
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1336237965
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/23/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2440 E TUDOR RD
Provider Second Line Business Mailing Address:
PMB 185
Provider Business Mailing Address City Name:
ANCHORAGE
Provider Business Mailing Address State Name:
AK
Provider Business Mailing Address Postal Code:
99507
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
907-261-3650
Provider Business Mailing Address Fax Number:
907-261-4810

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3831 PIPER ST
Provider Second Line Business Practice Location Address:
TOWER S, STE. SLL0 SDC PROVIDENCE ALASKA MED CENTER
Provider Business Practice Location Address City Name:
ANCHORAGE
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99508-4672
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-261-3650
Provider Business Practice Location Address Fax Number:
907-261-4810
Provider Enumeration Date:
10/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RS0012X , with the licence number:  AK1285 , registered in the state of AK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: MD12851 , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".




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