Provider Demographics
NPI:1457052870
Name:NORRIS, WILLIAM RAY
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:RAY
Last Name:NORRIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 S LOCUST ST APT 1
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-2875
Mailing Address - Country:US
Mailing Address - Phone:307-251-4554
Mailing Address - Fax:
Practice Address - Street 1:1180 S LOCUST ST APT 1
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82604-2875
Practice Address - Country:US
Practice Address - Phone:307-251-4554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist