Individual
NORMA RAE LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
8939 WALTHAM WOODS RD APT B, PARKVILLE, MD 21234-2553
(443) 854-3860
Mailing address
8939 WALTHAM WOODS RD APT B, PARKVILLE, MD 21234-2553
(443) 854-3860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
164X00000X
Licensed Vocational Nurse
Primary
2069313
AL
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-069313
LPN
AL
Enumeration date
10/06/2021
Last updated
10/06/2021
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