Individual
JUSTIN WAYNE NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-6715
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1138101
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1-138101
AL
Other
Enumeration date
08/16/2021
Last updated
06/08/2023
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