Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | OS015687 | PA |
NPI | 1114215225 |
---|---|
Provider Name | Evonne Morell |
First Address | Pittsburgh, PA 15213-2536 |
Second Address | Pittsburgh, PA 15224-1529 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2011 |
Last Update Date | 15/06/2021 |