Provider Demographics
NPI:1891279154
Name:NORTON, JULIA (PA-C)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:NORTON
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3015 E GOLDSTONE DR STE 230
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-1224
Mailing Address - Country:US
Mailing Address - Phone:208-398-4306
Mailing Address - Fax:208-500-2823
Practice Address - Street 1:3015 E GOLDSTONE DR STE 230
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-1224
Practice Address - Country:US
Practice Address - Phone:208-398-4306
Practice Address - Fax:208-500-2823
Is Sole Proprietor?:No
Enumeration Date:2018-09-21
Last Update Date:2025-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0110-006387363A00000X
IDPA-2309363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant