MEDICARE: LAURA J NORRIS ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	A166825	IA
2	363LF0000X	Family Nurse Practitioner	RN10013881	MA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	A166825	IA
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN100138811	MA

General Provider Information

NPI Number	:	1871251819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA J NORRIS ARNP

Provider Business Mailing Address
First Line	:	1419 HANCOCK ST
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-5250
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1419 HANCOCK ST
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-5250
Country	:	US
Telephone Number	:	617-770-9690
Fax Number	:	617-770-9692

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2021
Last Update Date	:	01/16/2026

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