Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 95011716 | CA |
NPI | 1063072338 |
---|---|
Provider Name | Kara Morrow |
First Address | Vacaville, CA 95687-8251 |
Second Address | Carmichael, CA 95608-0306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2019 |
Last Update Date | 18/06/2019 |