Provider Demographics
NPI:1770194706
Name:NORTON, NICHOL
Entity Type:Individual
Prefix:
First Name:NICHOL
Middle Name:
Last Name:NORTON
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 1:24085 AMADOR STREET
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-1299
Mailing Address - Country:US
Mailing Address - Phone:510-670-6662
Mailing Address - Fax:510-670-6444
Practice Address - Street 1:24085 AMADOR STREET
Practice Address - Street 2:SUITE 400
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-1299
Practice Address - Country:US
Practice Address - Phone:510-670-6662
Practice Address - Fax:510-670-6444
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator