Individual
MRS. KAYLEE J NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4740 N PENGROVE WAY, MERIDIAN, ID 83686-7443
(208) 938-3663
Mailing address
4740 N PENGROVE WAY, MERIDIAN, ID 83646-7443
(208) 938-3663
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
74797
ID
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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