Provider Demographics
NPI:1366407694
Name:HAUGHTON, NORMA (NURSE PRACTIONER FAM)
Entity type:Individual
Prefix:MS
First Name:NORMA
Middle Name:
Last Name:HAUGHTON
Suffix:
Gender:F
Credentials:NURSE PRACTIONER FAM
Other - Prefix:
Other - First Name:NORMA
Other - Middle Name:
Other - Last Name:CASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:37 DELISE AVENUE
Mailing Address - Street 2:
Mailing Address - City:ROOSEVELT
Mailing Address - State:NY
Mailing Address - Zip Code:11575
Mailing Address - Country:US
Mailing Address - Phone:516-623-2249
Mailing Address - Fax:
Practice Address - Street 1:232 MERRICK RD
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563
Practice Address - Country:US
Practice Address - Phone:516-377-4777
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF333440363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily