Healthcare Provider Details

I. General information

NPI: 1508923178
Provider Name (Legal Business Name): MS. ALEXIS ZYTA NORTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1563 NORTH MAIN ST SUITE 208
FALL RIVER MA
02720
US

IV. Provider business mailing address

273 EAST MAIN ROAD #2
PORTSMOUTH RI
02871
US

V. Phone/Fax

Practice location:
  • Phone: 508-324-1060
  • Fax: 508-679-8590
Mailing address:
  • Phone: 401-619-3445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: