Basic Information
Provider Information
NPI: 1528454014
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NORTON
FirstName: DIANA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1356 LUSITANA ST STE 510
Address2:  
City: HONOLULU
State: HI
PostalCode: 968132409
CountryCode: US
TelephoneNumber: 8085862890
FaxNumber:  
Practice Location
Address1: 801 N 29TH ST
Address2:  
City: BILLINGS
State: MT
PostalCode: 591010905
CountryCode: US
TelephoneNumber: 4062382500
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/10/2015
LastUpdateDate: 02/07/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/07/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207N00000X76052MTY Allopathic & Osteopathic PhysiciansDermatology 

No ID Information.


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