Provider Demographics
NPI:1053915553
Name:MORRIS, CYNTHIA D (APRN, CNP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:D
Last Name:MORRIS
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:D
Other - Last Name:GRANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2850 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60805-2735
Mailing Address - Country:US
Mailing Address - Phone:708-229-5065
Mailing Address - Fax:709-422-6664
Practice Address - Street 1:2850 W 95TH ST
Practice Address - Street 2:
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2735
Practice Address - Country:US
Practice Address - Phone:708-229-5065
Practice Address - Fax:708-422-6664
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.305933163WC0200X
IL209.022838363L00000X
IL209022838363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner