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NPI Code Detail

MEDICARE: MRS. YVONNE NICOLE MORTON LMSW

MEDICARE: MRS. YVONNE NICOLE MORTON LMSW
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
1225400000XRehabilitation Practitioner
2104100000XSocial Worker6666-SNV

General Provider Information

NPI Number : 1679816086
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. YVONNE NICOLE MORTON LMSW
Provider Business Mailing Address
First Line : 7632 SHORE HAVEN DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-6824
Country : US
Telephone Number : 702-218-6605
Fax Number :
Provider Business Practice Location Address
First Line : 4250 E BONANZA RD STE 17
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-6105
Country : US
Telephone Number : 702-331-4277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2013
Last Update Date : 04/07/2022

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