Individual
CHANNING LACEY NORRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15 OLD WEST ELM ST, PEMBROKE, MA 02359-1731
(781) 718-7435
Mailing address
454 WASHINGTON ST, NORWELL, MA 02061-2050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2288189
MA
Other
Enumeration date
05/02/2023
Last updated
07/18/2023
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