Healthcare Provider Details

I. General information

NPI: 1760476154
Provider Name (Legal Business Name): CONSTANCE NORTON RN, MSN,CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 W CENTRAL ST
FRANKLIN MA
02038-3188
US

IV. Provider business mailing address

269 LINDSEY ST
NO ATTLEBORO MA
02760-4729
US

V. Phone/Fax

Practice location:
  • Phone: 508-541-2415
  • Fax: 508-541-6749
Mailing address:
  • Phone: 508-695-8167
  • Fax: 508-695-8179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number114723
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: