Provider Demographics
NPI:1144554767
Name:MORRISON, ELIZABETH FRANCES (LICENSED MIDWIFE)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:FRANCES
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LICENSED MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 2ND ST
Mailing Address - Street 2:
Mailing Address - City:GREENPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11944-1307
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:421 2ND ST
Practice Address - Street 2:
Practice Address - City:GREENPORT
Practice Address - State:NY
Practice Address - Zip Code:11944-1307
Practice Address - Country:US
Practice Address - Phone:631-477-5914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2017-11-03
Deactivation Date:2017-10-09
Deactivation Code:
Reactivation Date:2017-10-18
Provider Licenses
StateLicense IDTaxonomies
NY001820367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001820OtherNY STATE LICENSE NUMBER