Provider Demographics
NPI:1073289237
Name:NORWOOD, PAYTON KINGSLEY (CRNP)
Entity Type:Individual
Prefix:
First Name:PAYTON
Middle Name:KINGSLEY
Last Name:NORWOOD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 SOMERVILLE RD SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-4351
Mailing Address - Country:US
Mailing Address - Phone:256-341-0152
Mailing Address - Fax:256-341-0587
Practice Address - Street 1:1222 SOMERVILLE RD SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-4351
Practice Address - Country:US
Practice Address - Phone:256-341-0152
Practice Address - Fax:256-341-0587
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-146060363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care