Provider Demographics
NPI:1467444158
Name:NORTON, SHERRY LEE (ARNP)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:LEE
Last Name:NORTON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 34TH ST S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33711-4511
Mailing Address - Country:US
Mailing Address - Phone:727-866-9945
Mailing Address - Fax:727-866-9870
Practice Address - Street 1:4901 34TH ST S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33711-4511
Practice Address - Country:US
Practice Address - Phone:727-866-9945
Practice Address - Fax:727-866-9870
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3302802363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL306837400Medicaid
FL306837400Medicaid
U2702YMedicare ID - Type Unspecified