MEDICARE: MS. MARIE NEILAN MORTON APRN-C

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
1	363L00000X	Nurse Practitioner	26NJ00033700	NJ
2	363LP0200X	Pediatric Nurse Practitioner	26NJ00033700	NJ

General Provider Information

NPI Number	:	1083825228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIE NEILAN MORTON APRN-C

Provider Business Mailing Address
First Line	:	226 WASHINGTON AVE
Second Line	:
City	:	CHATHAM
State	:	NJ
Zip	:	07928-1750
Country	:	US
Telephone Number	:	973-635-2963
Fax Number	:

Provider Business Practice Location Address
First Line	:	195 COLUMBIA TPKE
Second Line	:	SUITE 105
City	:	FLORHAM PARK
State	:	NJ
Zip	:	07932-2254
Country	:	US
Telephone Number	:	973-437-8300
Fax Number	:	973-845-2883

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2007
Last Update Date	:	09/14/2016

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