Provider Demographics
NPI:1124048772
Name:NORTON, STEFANIE JILL (CRNA)
Entity type:Individual
Prefix:
First Name:STEFANIE
Middle Name:JILL
Last Name:NORTON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:STEFANIE
Other - Middle Name:JILL
Other - Last Name:ATEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:6600 S SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74011-6028
Mailing Address - Country:US
Mailing Address - Phone:918-978-8191
Mailing Address - Fax:
Practice Address - Street 1:6600 S SYCAMORE AVE
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74011-6028
Practice Address - Country:US
Practice Address - Phone:918-978-8191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0084440367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered