Provider Demographics
NPI:1073727608
Name:MORTON, BETTY M (LPN)
Entity Type:Individual
Prefix:MR
First Name:BETTY
Middle Name:M
Last Name:MORTON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:BETTY
Other - Middle Name:M
Other - Last Name:QUARTEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8312 TIMOTHY LN
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73135-6039
Mailing Address - Country:US
Mailing Address - Phone:405-249-2494
Mailing Address - Fax:
Practice Address - Street 1:1215 NW 25TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-5629
Practice Address - Country:US
Practice Address - Phone:405-525-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKL0051161164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse