| NPI | 1457778623 |
|---|---|
| Former Name | NICOLE MORTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 4504) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2005008812) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 4504) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 4504) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2019-01-02 |