Individual
MRS. THERESA NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(813) 523-1364
Mailing address
3024 PARTRIDGE POINT TRL, VALRICO, FL 33596-7921
(813) 523-1364
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP3330912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3330912
ARNP
FL
Enumeration date
06/04/2013
Last updated
09/15/2020
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