Individual
ALYSSA NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CRNA
Contact information
Practice address
1100 E NORRIS DR, OTTAWA, IL 61350-1604
(815) 433-3100
Mailing address
1100 E NORRIS DR, OTTAWA, IL 61350-1604
(815) 433-3100
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041478438
IL
367500000X
Certified Registered Nurse Anesthetist
041478438
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209025350
IL
Other
Enumeration date
04/28/2022
Last updated
08/08/2024
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