Provider Demographics
NPI:1760476154
Name:NORTON, CONSTANCE (RN, MSN,CPNP)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:
Last Name:NORTON
Suffix:
Gender:F
Credentials:RN, MSN,CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 LINDSEY ST
Mailing Address - Street 2:
Mailing Address - City:NO ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-4729
Mailing Address - Country:US
Mailing Address - Phone:508-695-8167
Mailing Address - Fax:508-695-8179
Practice Address - Street 1:835 W CENTRAL ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3188
Practice Address - Country:US
Practice Address - Phone:508-541-2415
Practice Address - Fax:508-541-6749
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA114723363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP2447OtherBLUE CROSS PROVIDER #