Provider Demographics
NPI:1598570277
Name:MORTON, CHARMAINE ELIZABETH
Entity type:Individual
Prefix:
First Name:CHARMAINE
Middle Name:ELIZABETH
Last Name:MORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4320 GRANT ST # 68111
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-3409
Mailing Address - Country:US
Mailing Address - Phone:402-212-0938
Mailing Address - Fax:
Practice Address - Street 1:4320 GRANT ST # 68111
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-3409
Practice Address - Country:US
Practice Address - Phone:402-212-0938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health