Individual
DUSTIN SHANE MORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
203 S WASHINGTON ST, FARMINGTON, MO 63640-1836
(573) 664-1047
(573) 218-0716
Mailing address
PO BOX 1255, FARMINGTON, MO 63640-4176
(573) 664-1047
(573) 218-0716
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020004280
MO
Other
Enumeration date
01/09/2020
Last updated
06/19/2024
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