Provider Demographics
NPI:1043420060
Name:NORRIS, ANNE E (PHD, RNCS)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:E
Last Name:NORRIS
Suffix:
Gender:F
Credentials:PHD, RNCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 BEACON ST
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-1102
Mailing Address - Country:US
Mailing Address - Phone:617-527-8338
Mailing Address - Fax:
Practice Address - Street 1:465 BEACON ST
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-1102
Practice Address - Country:US
Practice Address - Phone:617-527-8338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA203475364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP91361Medicare UPIN