Individual
MISS COREEN NORWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR OF ARTS
Contact information
Practice address
1140 M ST, GREELEY, CO 80631-9586
(970) 313-1173
Mailing address
5930 NICKLAUS DR, FORT COLLINS, CO 80528-8853
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FNY837116290
BLUECROSS BLUESHIELD OF NEBRASKA
NE
Enumeration date
07/29/2018
Last updated
07/29/2018
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