Provider Demographics
NPI:1902058050
Name:MORROW, AMBER LEIGH (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:LEIGH
Last Name:MORROW
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:AMBER
Other - Middle Name:LEIGH
Other - Last Name:BOXLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:PO BOX 785
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73502-0785
Mailing Address - Country:US
Mailing Address - Phone:580-357-9984
Mailing Address - Fax:580-357-3277
Practice Address - Street 1:4411 W GORE BLVD
Practice Address - Street 2:SUITE A2
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-6016
Practice Address - Country:US
Practice Address - Phone:580-355-0575
Practice Address - Fax:580-248-1725
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK73704363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK73704OtherOKLAHOMA BOARD OF NURSING