Provider Demographics
NPI:1508393224
Name:NORRIS, KATIE D (DO)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:D
Last Name:NORRIS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:9827 N 95TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4591
Mailing Address - Country:US
Mailing Address - Phone:480-609-8100
Mailing Address - Fax:480-609-8101
Practice Address - Street 1:7425 E SHEA BLVD STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6411
Practice Address - Country:US
Practice Address - Phone:480-609-8100
Practice Address - Fax:480-609-8101
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2025-01-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ008719208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ082656Medicaid