Healthcare Provider Details

I. General information

NPI: 1861913899
Provider Name (Legal Business Name): HILARY DIRKS NORTON DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2017
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8301 GOLDEN VALLEY RD STE 100
GOLDEN VALLEY MN
55427-4469
US

IV. Provider business mailing address

8301 GOLDEN VALLEY RD STE 100
GOLDEN VALLEY MN
55427-4469
US

V. Phone/Fax

Practice location:
  • Phone: 763-581-2273
  • Fax: 763-581-5151
Mailing address:
  • Phone: 763-581-2273
  • Fax: 763-581-5151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number76954
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: