Provider Demographics
NPI:1255776670
Name:NORRIS, JOY AILEEN
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:AILEEN
Last Name:NORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:JOY
Other - Middle Name:AILEEN
Other - Last Name:NORRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:95 S PAGOSA BLVD
Mailing Address - Street 2:
Mailing Address - City:PAGOSA SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81147-8329
Mailing Address - Country:US
Mailing Address - Phone:970-507-3781
Mailing Address - Fax:970-731-3708
Practice Address - Street 1:95 S PAGOSA BLVD
Practice Address - Street 2:
Practice Address - City:PAGOSA SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81147-8329
Practice Address - Country:US
Practice Address - Phone:970-507-3781
Practice Address - Fax:970-731-3708
Is Sole Proprietor?:No
Enumeration Date:2013-04-30
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201600431207P00000X
COCDRH.0064325207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine