Healthcare Provider Details

I. General information

NPI: 1922814391
Provider Name (Legal Business Name): HALEY ELIZABETH NORTON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HARNOIS AVE STE 2A
WESTBROOK ME
04092-4395
US

IV. Provider business mailing address

1 HARNOIS AVE STE 2A
WESTBROOK ME
04092-4395
US

V. Phone/Fax

Practice location:
  • Phone: 207-661-3400
  • Fax: 207-662-3401
Mailing address:
  • Phone: 207-661-3400
  • Fax: 207-662-3401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN83564
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP261650
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: