Individual
NORAINI OTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4325 GRAND AVE, DULUTH, MN 55807-2730
(218) 722-1497
(218) 722-6239
Mailing address
4325 GRAND AVE, DULUTH, MN 55807-2730
(218) 722-1497
(218) 722-6239
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
129927-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129927-6
LICENSE
MN
01
—
131409
LICENSE
WI
Enumeration date
08/29/2006
Last updated
07/08/2007
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