Provider Demographics
NPI:1588384200
Name:MORTON, ASIA MARIE (CNA, MA)
Entity type:Individual
Prefix:
First Name:ASIA
Middle Name:MARIE
Last Name:MORTON
Suffix:
Gender:F
Credentials:CNA, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18950 LINA ST APT 1322
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-2452
Mailing Address - Country:US
Mailing Address - Phone:972-374-7452
Mailing Address - Fax:
Practice Address - Street 1:18950 LINA ST APT 1322
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-2452
Practice Address - Country:US
Practice Address - Phone:972-374-7452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA10077745376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXNA10077745OtherCNA