Provider Demographics
NPI:1588772701
Name:NORTON, NELLY N
Entity type:Individual
Prefix:
First Name:NELLY
Middle Name:N
Last Name:NORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VALENTINE
Other - Middle Name:N
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2511 11TH ST
Mailing Address - Street 2:
Mailing Address - City:GALENA PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77547-2005
Mailing Address - Country:US
Mailing Address - Phone:713-828-8714
Mailing Address - Fax:
Practice Address - Street 1:2511 11TH ST
Practice Address - Street 2:
Practice Address - City:GALENA PARK
Practice Address - State:TX
Practice Address - Zip Code:77547-2005
Practice Address - Country:US
Practice Address - Phone:713-828-8714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide