| Doctor Name: | MRS. ANGELA KIM NORTZ |
| NPI Number: | 1437529138 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 502824-1 |
| Business Practice Address: | 5439 Shady Ave Lowville, NY - 133671615 |
| Business Phone Number: | 3153777365 |
| Business Fax Number: | 3153777380 |
| Mailing Address: | 20104 Nys Rt 3, WATERTOWN |
| State: | NY |
| Postal Code: | 136015560 |
| Phone Number: | 3157797100 |
| Fax Number: | 3157797109 |
| NPI Enumeration Date: | 10/07/2015 |
| NPI Last Update Date: | 10/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 502824-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |