Healthcare Provider Details

I. General information

NPI: 1275794976
Provider Name (Legal Business Name): LAURA ANN NORTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 06/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17802 ORANGEWOOD LN
RIVERSIDE CA
92503-7061
US

IV. Provider business mailing address

17802 ORANGEWOOD LN
RIVERSIDE CA
92503-7061
US

V. Phone/Fax

Practice location:
  • Phone: 951-667-1183
  • Fax:
Mailing address:
  • Phone: 951-667-1183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number591815
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: