Individual
FADRA NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4602 RUNABOUT WAY, BRADENTON, FL 34203-3113
(216) 509-5177
Mailing address
4602 RUNABOUT WAY, BRADENTON, FL 34203-3113
(216) 509-5177
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9390859
FL
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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