Individual
BEVERLY LOUISE MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
145-24 223RD ST, LAURELTON, NY 11413
(718) 712-8338
Mailing address
145-24 223RD ST, N.Y, NY 11413
(718) 712-8338
(718) 712-0909
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
498633-1
NY
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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