Individual
JENNIFER COLEMAN NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2555 E 13TH ST, STE 130, LOVELAND, CO 80537
(970) 663-5437
(970) 669-5762
Mailing address
1627 E 18TH STREET, LOVELAND, CO 80538
(970) 663-0135
(970) 461-1422
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37955
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0725572
—
IA
05
—
118974300
—
WY
05
—
4705637
—
CA
05
—
807417700
—
ID
05
—
94276781
—
CO
01
—
NO641834
ANTHEM BCBS
CO
Enumeration date
11/22/2005
Last updated
11/22/2010
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