Provider Demographics
NPI:1427304054
Name:NORTON-KRAWCIW, ANNE FRANCES (RPH, IBCLC, RLC)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:FRANCES
Last Name:NORTON-KRAWCIW
Suffix:
Gender:F
Credentials:RPH, IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34143 PRESTON DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-5654
Mailing Address - Country:US
Mailing Address - Phone:586-939-8378
Mailing Address - Fax:586-838-5366
Practice Address - Street 1:34143 PRESTON DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-5654
Practice Address - Country:US
Practice Address - Phone:586-939-8378
Practice Address - Fax:586-838-5366
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-01
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020251341835P0018X
MI19110756174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No174N00000XOther Service ProvidersLactation Consultant, Non-RN