Individual
STACY NICOLE JUDE NORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14 SLOSSON TER, STATEN ISLAND, NY 10301-2507
(718) 273-8409
(718) 273-5265
Mailing address
14 SLOSSON TER, STATEN ISLAND, NY 10301-2507
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
587042
NY
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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