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NPI Code Detail

MEDICARE: AMY LEE MORTON APN

MEDICARE: AMY LEE MORTON APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerA03110ANPAR

General Provider Information

NPI Number : 1083832448
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY LEE MORTON APN
Provider Business Mailing Address
First Line : 9 GREENWAY PLZ STE 2950
Second Line :
City : HOUSTON
State : TX
Zip : 77046-0924
Country : US
Telephone Number : 713-580-9463
Fax Number :
Provider Business Practice Location Address
First Line : 3919 N MALL AVE
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-4906
Country : US
Telephone Number : 479-444-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 07/18/2008

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