| Organization Name: | SHAUNA NORTON, ANP, LLC |
| NPI Number: | 1174953087 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAUNA NORTON (OWNER/MANAGER) |
| Mailing Address: | 10421 Vfw Rd. Suite 202 Eagle River |
| State: | AK US |
| Postal Code: | 99577 |
| Phone Number: | 9077824544 |
| Fax Number: | 8772536065 |
| NPI Enumeration Date: | 11/14/2013 |
| NPI Last Update Date: | 11/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 1215 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |