Organization
SHAUNA NORTON, ANP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA NORTON (OWNER)
(907) 782-4544
Entity
Organization
Contact information
Practice address
51708 KENAI SPUR HWY # B-7594, NIKISKI, AK 99635-9800
(907) 782-4544
(877) 253-6065
Mailing address
PO BOX 7594, NIKISKI, AK 99635-7594
(907) 782-4544
(877) 253-6065
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1215
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629249693
INDIVIDUAL NPI
—
Enumeration date
11/14/2013
Last updated
10/02/2020
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