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Individual

MRS. HELEN MARIE NORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
4630 VISTULA RD, MISHAWAKA, IN 46544-4000
(574) 318-4291
(574) 318-4759
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001913A
IN
363LF0000X
Family Nurse Practitioner
71001913A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000872516
BCBS NORTH CENTRAL CARDIOVASCULAR
IN
05
201222070
IN
01
P01435394
RR MEDICARE
IN
Enumeration date
06/09/2006
Last updated
04/28/2023
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