Provider Demographics
NPI:1558531046
Name:MORTON, ANDRIA A (MA)
Entity Type:Individual
Prefix:MRS
First Name:ANDRIA
Middle Name:A
Last Name:MORTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:ANDRIA
Other - Middle Name:A
Other - Last Name:MINOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:830 BROADWAY
Mailing Address - Street 2:24
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-4657
Mailing Address - Country:US
Mailing Address - Phone:619-672-8624
Mailing Address - Fax:619-334-1701
Practice Address - Street 1:830 BROADWAY
Practice Address - Street 2:24
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-4657
Practice Address - Country:US
Practice Address - Phone:619-672-8624
Practice Address - Fax:619-334-1701
Is Sole Proprietor?:No
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide