Healthcare Provider Details

I. General information

NPI: 1033048186
Provider Name (Legal Business Name): RICHARD WADE NORTON R.N.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14049 BLACKWATER RD
BAKER LA
70714-6608
US

IV. Provider business mailing address

14049 BLACKWATER RD
BAKER LA
70714-6608
US

V. Phone/Fax

Practice location:
  • Phone: 225-362-9659
  • Fax: 225-362-9659
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number77177
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: