Provider Demographics
NPI:1730631375
Name:MORRISON, ALICIA DENNING (MSN CNP FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:DENNING
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MSN CNP FNP-BC
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:ANN
Other - Last Name:DENNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2570 NW EDENBOWER BLVD.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97471-6214
Mailing Address - Country:US
Mailing Address - Phone:541-677-7200
Mailing Address - Fax:541-229-3309
Practice Address - Street 1:2510 NW EDENBOWER BLVD.
Practice Address - Street 2:SUITE 152
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97471-8899
Practice Address - Country:US
Practice Address - Phone:541-677-7200
Practice Address - Fax:541-229-3309
Is Sole Proprietor?:No
Enumeration Date:2016-10-31
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201702172NP-PP363LF0000X
PASP016673363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily