Provider Demographics
NPI:1386980167
Name:MORTON, BARBARA ANN (ACNP)
Entity type:Individual
Prefix:MISS
First Name:BARBARA
Middle Name:ANN
Last Name:MORTON
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Gender:F
Credentials:ACNP
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Mailing Address - Street 1:18444 W 10 MILE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2653
Mailing Address - Country:US
Mailing Address - Phone:248-796-1164
Mailing Address - Fax:888-399-9554
Practice Address - Street 1:18444 W 10 MILE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2653
Practice Address - Country:US
Practice Address - Phone:248-796-1164
Practice Address - Fax:888-399-9554
Is Sole Proprietor?:No
Enumeration Date:2012-12-22
Last Update Date:2013-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704198722363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care