Provider Demographics
NPI:1811721038
Name:NORTON, ELIZABETH R (DOULA)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:R
Last Name:NORTON
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:R
Other - Last Name:TEACHWORTH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:523 FRASER ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-7124
Mailing Address - Country:US
Mailing Address - Phone:248-600-9489
Mailing Address - Fax:
Practice Address - Street 1:523 FRASER ST
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-7124
Practice Address - Country:US
Practice Address - Phone:248-600-9489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-29
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1811721038OtherNATIONAL PROVIDER ID
MI35-2866325OtherEMPLOYER ID