Provider Demographics
NPI:1811674690
Name:NORRIS, DANALEE (CPHT, CORONER)
Entity type:Individual
Prefix:
First Name:DANALEE
Middle Name:
Last Name:NORRIS
Suffix:
Gender:F
Credentials:CPHT, CORONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 NE 7TH ST
Mailing Address - Street 2:
Mailing Address - City:COUPEVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98239-3105
Mailing Address - Country:US
Mailing Address - Phone:360-679-7358
Mailing Address - Fax:360-679-7394
Practice Address - Street 1:101 NE 6TH STREET
Practice Address - Street 2:
Practice Address - City:COUPEVILLE
Practice Address - State:WA
Practice Address - Zip Code:98239
Practice Address - Country:US
Practice Address - Phone:360-679-7358
Practice Address - Fax:360-679-7394
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1329291183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician