Provider Demographics
NPI:1356079974
Name:MORRIS, NATASHA
Entity type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:TASHA
Other - Middle Name:
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NATASHA MORRIS
Mailing Address - Street 1:132 SHERWOOD ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTREE
Mailing Address - State:SC
Mailing Address - Zip Code:29556-7539
Mailing Address - Country:US
Mailing Address - Phone:843-301-5153
Mailing Address - Fax:
Practice Address - Street 1:132 SHERWOOD ST
Practice Address - Street 2:
Practice Address - City:KINGSTREE
Practice Address - State:SC
Practice Address - Zip Code:29556-7539
Practice Address - Country:US
Practice Address - Phone:843-301-5153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC376K00000X
SC562404376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC562404OtherCERTIFIED NURSING