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Individual

MICHAELA KATHRYN NORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
1320 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 647-4411
Mailing address
1320 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 647-4411

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
100709
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202120723
PEDIATRIC NURSING BOARD
WV
Enumeration date
07/29/2021
Last updated
11/09/2023
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