MEDICARE: MS. DEBRA JEAN NORTON

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	163WC1500X	Community Health Registered Nurse	71122	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	71122	OTHER	CO	REGISTERED NURSE LICENSE

General Provider Information

NPI Number	:	1508160896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBRA JEAN NORTON

Provider Business Mailing Address
First Line	:	7382 EAGLE ROCK DR
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80125-7909
Country	:	US
Telephone Number	:	303-948-8077
Fax Number	:

Provider Business Practice Location Address
First Line	:	7382 EAGLE ROCK DR
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80125-7909
Country	:	US
Telephone Number	:	303-948-8077
Fax Number	:

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

Provider Enumeration Date	:	01/01/2011
Last Update Date	:	01/01/2011

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