Provider Demographics
NPI:1083404198
Name:NORTON, AMBER YSIDRA (RN)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:YSIDRA
Last Name:NORTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 S KENWOOD LN
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-3846
Mailing Address - Country:US
Mailing Address - Phone:928-812-3582
Mailing Address - Fax:
Practice Address - Street 1:207 S KENWOOD LN
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-3846
Practice Address - Country:US
Practice Address - Phone:928-812-3582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN154391163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse