Provider Demographics
NPI:1659326320
Name:GERTON, NORMA
Entity Type:Individual
Prefix:MS
First Name:NORMA
Middle Name:
Last Name:GERTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 273
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33509
Mailing Address - Country:US
Mailing Address - Phone:813-451-6209
Mailing Address - Fax:
Practice Address - Street 1:1507 W REYNOLDS ST
Practice Address - Street 2:SUITE A
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563
Practice Address - Country:US
Practice Address - Phone:813-764-9355
Practice Address - Fax:813-764-0695
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9231133363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner