Provider Demographics
NPI:1588301576
Name:NORTON, MARCIE (FNP)
Entity type:Individual
Prefix:MRS
First Name:MARCIE
Middle Name:
Last Name:NORTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 HIGHWAY 161
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:MO
Mailing Address - Zip Code:63334-2431
Mailing Address - Country:US
Mailing Address - Phone:573-324-3333
Mailing Address - Fax:573-324-3334
Practice Address - Street 1:905 HIGHWAY 161
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:MO
Practice Address - Zip Code:63334-2431
Practice Address - Country:US
Practice Address - Phone:573-324-3333
Practice Address - Fax:573-324-3334
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-19
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022017080363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty