Individual
MRS. CARISSA G MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
114 PIPER HILL DR, SUITE NUMBER 103, SAINT PETERS, MO 63376-1661
(636) 442-5035
Mailing address
16774 BENTON TAYLOR DR, CHESTERFIELD, MO 63005-4873
(678) 230-3594
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013003434
MO
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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