Provider Demographics
NPI:1629312483
Name:NORTON, EVELYN J (RN, DNP, APN)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:J
Last Name:NORTON
Suffix:
Gender:F
Credentials:RN, DNP, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14416 LINDER AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:IL
Mailing Address - Zip Code:60445-2423
Mailing Address - Country:US
Mailing Address - Phone:708-388-5236
Mailing Address - Fax:
Practice Address - Street 1:14416 LINDER AVE
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:IL
Practice Address - Zip Code:60445-2423
Practice Address - Country:US
Practice Address - Phone:708-388-5236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-18
Last Update Date:2012-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.009931363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health