MEDICARE: HAILEY NORBOT

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	163WP0200X	Pediatric Registered Nurse	1139924	TX

General Provider Information

NPI Number	:	1700745189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAILEY NORBOT

Provider Business Mailing Address
First Line	:	4001 S BROADWAY AVE APT 1212
Second Line	:	APT 1212
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-7687
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 S BROADWAY AVE APT 1212
Second Line	:	APT 1212
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-7687
Country	:	US
Telephone Number	:	815-690-4214
Fax Number	:

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

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “ HAILEY NORBOT ” Practice Location

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