Provider Demographics
NPI:1194149153
Name:NORTON, AMY (LAC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:NORTON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6162 ALAPAKI RD
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-8215
Mailing Address - Country:US
Mailing Address - Phone:808-855-0321
Mailing Address - Fax:305-415-8328
Practice Address - Street 1:4-356 KUHIO HWY # 113B
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-1413
Practice Address - Country:US
Practice Address - Phone:808-855-0321
Practice Address - Fax:305-415-8328
Is Sole Proprietor?:No
Enumeration Date:2014-02-11
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1747171100000X
HIACU-1271171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist