| NPI | 1568098333 |
|---|---|
| Former Name | STACY ANN MORTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013535) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9351388) |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2021-10-15 |