Provider Demographics
NPI:1295142628
Name:HAUGHTON, NORMA (LPN)
Entity type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:
Last Name:HAUGHTON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 EVAN RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-4022
Mailing Address - Country:US
Mailing Address - Phone:845-544-2870
Mailing Address - Fax:
Practice Address - Street 1:17 SWEEZY AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-6063
Practice Address - Country:US
Practice Address - Phone:845-344-0492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY318692164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse