Provider Demographics
NPI:1114439197
Name:NORTON, ERIN BEATTY (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:BEATTY
Last Name:NORTON
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:LIZABETH
Other - Last Name:BEATTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:3841 PIPER ST.
Mailing Address - Street 2:SUITE T-230
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508
Mailing Address - Country:US
Mailing Address - Phone:907-279-8800
Mailing Address - Fax:907-279-8810
Practice Address - Street 1:3841 PIPER ST.
Practice Address - Street 2:SUITE T-230
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-279-8800
Practice Address - Fax:907-279-8810
Is Sole Proprietor?:No
Enumeration Date:2017-10-30
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK127132363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1677261Medicaid