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Individual

MICHAEL P NORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Mailing address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
122502
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
78237
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8052947
NC
01
P00601412
RAILROAD MEDICARE
NC
Enumeration date
08/27/2007
Last updated
02/04/2020
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