Provider Demographics
NPI:1043199672
Name:MORRIS, LORETTA (RMA/CMA, CNA, MT)
Entity type:Individual
Prefix:
First Name:LORETTA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:RMA/CMA, CNA, MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:284 EXECUTIVE PARK DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-1831
Mailing Address - Country:US
Mailing Address - Phone:704-939-1100
Mailing Address - Fax:704-939-1173
Practice Address - Street 1:377 HOSPITAL ST
Practice Address - Street 2:
Practice Address - City:MOCKSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27028-2191
Practice Address - Country:US
Practice Address - Phone:336-751-5636
Practice Address - Fax:336-751-5636
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC129593376K00000X
NC2676896247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No376K00000XNursing Service Related ProvidersNurse's Aide