Provider Demographics
NPI:1477432631
Name:MORSE, HAILEY L (RD)
Entity type:Individual
Prefix:MRS
First Name:HAILEY
Middle Name:L
Last Name:MORSE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MISS
Other - First Name:HAILEY
Other - Middle Name:L
Other - Last Name:GRANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:537 BOHEMIA CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:MD
Mailing Address - Zip Code:21912-1232
Mailing Address - Country:US
Mailing Address - Phone:484-639-4581
Mailing Address - Fax:
Practice Address - Street 1:537 BOHEMIA CHURCH RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:MD
Practice Address - Zip Code:21912-1232
Practice Address - Country:US
Practice Address - Phone:484-639-4581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX5106133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered