Provider Demographics
NPI:1598249120
Name:MORTON, CINDE O
Entity Type:Individual
Prefix:
First Name:CINDE
Middle Name:O
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 1:1320 BULLOCK HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-1116
Mailing Address - Country:US
Mailing Address - Phone:423-534-8304
Mailing Address - Fax:
Practice Address - Street 1:1320 BULLOCK HOLLOW RD
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-1116
Practice Address - Country:US
Practice Address - Phone:423-534-8304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist