Provider Demographics
NPI:1558974204
Name:NORTON, KARIN MARIE (PSS)
Entity Type:Individual
Prefix:MS
First Name:KARIN
Middle Name:MARIE
Last Name:NORTON
Suffix:
Gender:F
Credentials:PSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 DUTTON HL
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:ME
Mailing Address - Zip Code:04039-9581
Mailing Address - Country:US
Mailing Address - Phone:207-491-3406
Mailing Address - Fax:
Practice Address - Street 1:72 DUTTON HL
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:ME
Practice Address - Zip Code:04039-9581
Practice Address - Country:US
Practice Address - Phone:207-491-3406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide