MEDICARE: DEADRA NORTON CRT

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	227800000X	Certified Respiratory Therapist	RCP2875	NM

General Provider Information

NPI Number	:	1568394146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEADRA NORTON CRT

Provider Business Mailing Address
First Line	:	3713 STAR LN
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87402-5271
Country	:	US
Telephone Number	:	505-330-9138
Fax Number	:

Provider Business Practice Location Address
First Line	:	3713 STAR LN
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87402-5271
Country	:	US
Telephone Number	:	505-330-9138
Fax Number	:

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

Provider Enumeration Date	:	05/30/2026
Last Update Date	:	05/30/2026

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