Individual
MS. RENAE LYNN NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
440 W SONGER LN, VEEDERSBURG, IN 47987-8547
(765) 294-2486
(765) 294-8026
Mailing address
440 W SONGER LN, VEEDERSBURG, IN 47987-8547
(765) 294-2486
(765) 294-8026
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002574A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71002574B
CSR
IN
Enumeration date
01/03/2008
Last updated
01/03/2008
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