Provider Demographics
NPI:1154116721
Name:NORTON, MOLLY JEAN (RDN)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:JEAN
Last Name:NORTON
Suffix:
Gender:
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6226 BLENDON DR APT 104
Mailing Address - Street 2:
Mailing Address - City:HUDSONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49426-8044
Mailing Address - Country:US
Mailing Address - Phone:231-675-6929
Mailing Address - Fax:
Practice Address - Street 1:6226 BLENDON DR APT 104
Practice Address - Street 2:
Practice Address - City:HUDSONVILLE
Practice Address - State:MI
Practice Address - Zip Code:49426-8044
Practice Address - Country:US
Practice Address - Phone:231-675-6929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI86376076133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered