Individual
MRS. DEANTA S NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
Mailing address
1514 JEFFERSON HWY, ATTN. JUDY DANNA. BENSON TOWER 25TH FLOOR, NEW ORLEANS, LA 70121-2429
(225) 939-3148
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07695
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02831868
MS. MEDICAID
MS
05
—
2368028
—
LA
Enumeration date
03/05/2014
Last updated
12/17/2014
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