MEDICARE: CANDACE NORRIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	537	AK

General Provider Information

NPI Number	:	1356474613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDACE NORRIS

Provider Business Mailing Address
First Line	:	8391 MAJESTIC DR
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99504-4704
Country	:	US
Telephone Number	:	907-563-5282
Fax Number	:	907-563-7419

Provider Business Practice Location Address
First Line	:	PLANNED PARENTHOOD
Second Line	:	4001 LAKE OTIS PKWY
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5200
Country	:	US
Telephone Number	:	907-770-9711
Fax Number	:	907-563-7419

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	09/21/2007

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Directions to “ CANDACE NORRIS ” Practice Location

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