MEDICARE: ELIZABETH IRENE NORTON PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	A649	SC
2	363AM0700X	Medical Physician Assistant	0010-00935	NC

General Provider Information

NPI Number	:	1497701239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH IRENE NORTON PA

Provider Business Mailing Address
First Line	:	620 DR CALVIN JONES HWY STE 212
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-3108
Country	:	US
Telephone Number	:	919-761-5678
Fax Number	:	919-761-5680

Provider Business Practice Location Address
First Line	:	620 DR CALVIN JONES HWY STE 212
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-3100
Country	:	US
Telephone Number	:	919-761-5678
Fax Number	:	919-761-5680

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	02/04/2026

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