Provider Demographics
NPI:1962656694
Name:NORTON, MICHELE
Entity Type:Individual
Prefix:
First Name:MICHELE
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 1:110 PROCTOR HAYNES LN
Mailing Address - Street 2:
Mailing Address - City:HARNED
Mailing Address - State:KY
Mailing Address - Zip Code:40144-5772
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 PROCTOR HAYNES LN
Practice Address - Street 2:
Practice Address - City:HARNED
Practice Address - State:KY
Practice Address - Zip Code:40144-5772
Practice Address - Country:US
Practice Address - Phone:270-617-3422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-07
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator