Provider Demographics
NPI:1679335509
Name:MORRIS, COURTNEY (CRNA, DNP)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:CRNA, DNP
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:AIKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1320 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-1822
Mailing Address - Country:US
Mailing Address - Phone:220-564-4218
Mailing Address - Fax:
Practice Address - Street 1:1320 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-3699
Practice Address - Country:US
Practice Address - Phone:220-564-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-25
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH463239163W00000X
OHAPRN.CRNA.0021046367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse