Provider Demographics
NPI:1023183787
Name:NORRIS, ANN NELSON (RN, BSN)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:NELSON
Last Name:NORRIS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28716-4822
Mailing Address - Country:US
Mailing Address - Phone:828-648-6287
Mailing Address - Fax:
Practice Address - Street 1:124 JOHNSON ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NC
Practice Address - Zip Code:28716-4822
Practice Address - Country:US
Practice Address - Phone:828-648-6284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC143154163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse