Provider Demographics
NPI:1891244968
Name:NORTON, KIMBERLY ANNA (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:ANNA
Last Name:NORTON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1400 FRONT AVENUE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6839
Mailing Address - Country:US
Mailing Address - Phone:410-296-7190
Mailing Address - Fax:443-991-7768
Practice Address - Street 1:8600 LASALLE RD
Practice Address - Street 2:250
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:20176-6839
Practice Address - Country:US
Practice Address - Phone:443-279-6262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-29
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024173992363LF0000X
MDR191358363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily