Provider Demographics
NPI:1326919820
Name:MORRIS, PATRICK TIHININ
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:TIHININ
Last Name:MORRIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12152 JONQUIL ST NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-1769
Mailing Address - Country:US
Mailing Address - Phone:952-913-7241
Mailing Address - Fax:
Practice Address - Street 1:12152 JONQUIL ST NW
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-1769
Practice Address - Country:US
Practice Address - Phone:763-280-3807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide