Provider Demographics
NPI:1770165672
Name:NORTON, KATLYN BRYANT (CRNP)
Entity type:Individual
Prefix:
First Name:KATLYN
Middle Name:BRYANT
Last Name:NORTON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45020 HIGHWAY 17
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:AL
Mailing Address - Zip Code:35592-5636
Mailing Address - Country:US
Mailing Address - Phone:205-695-0106
Mailing Address - Fax:
Practice Address - Street 1:45020 HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:AL
Practice Address - Zip Code:35592-5636
Practice Address - Country:US
Practice Address - Phone:205-695-0106
Practice Address - Fax:205-695-0502
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-163463163W00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse