Healthcare Provider Details

I. General information

NPI: 1578757233
Provider Name (Legal Business Name): NANCY B NORTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2007
Last Update Date: 09/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 10TH AVE
HUNTINGTON WV
25701-3316
US

IV. Provider business mailing address

1001 10TH AVE
HUNTINGTON WV
25701-3316
US

V. Phone/Fax

Practice location:
  • Phone: 304-697-4497
  • Fax: 304-523-9470
Mailing address:
  • Phone: 304-697-4497
  • Fax: 304-523-9470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number21253
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: