Provider Demographics
NPI:1972685576
Name:NORTON, TERESA A (APRN)
Entity Type:Individual
Prefix:MS
First Name:TERESA
Middle Name:A
Last Name:NORTON
Suffix:
Gender:F
Credentials:APRN
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 21850
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71903-1850
Mailing Address - Country:US
Mailing Address - Phone:501-622-1801
Mailing Address - Fax:501-622-2239
Practice Address - Street 1:ONE MERCY LANE
Practice Address - Street 2:STE 303
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6440
Practice Address - Country:US
Practice Address - Phone:501-622-1801
Practice Address - Fax:501-622-2239
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA001662363LW0102X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR161251758Medicaid