Individual
BETH P NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
411 FOXTRACT RD, BRIDGEPORT, NY 13030-9618
(315) 633-0843
Mailing address
411 FOXTRACT RD, BRIDGEPORT, NY 13030-9618
(315) 633-0843
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
421081-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02334196
—
NY
Enumeration date
03/20/2007
Last updated
07/08/2007
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