Individual
SHANA LYNN NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-8940
(812) 842-4200
Mailing address
PO BOX 637273, CINCINNATI, OH 45263-7273
(812) 842-4200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28188425A
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
PENDING
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28188425A
RN LICENSE
IN
01
—
71011326A
APRN LICENSE
IN
Enumeration date
04/29/2021
Last updated
07/15/2021
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