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NPI Code Detail

MEDICARE: NATHANIEL ALLEN NORRIS BA,QMHS

MEDICARE: NATHANIEL ALLEN NORRIS BA,QMHS
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
1171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770268443
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHANIEL ALLEN NORRIS BA,QMHS
Provider Business Mailing Address
First Line : 2845 BELL ST
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-1720
Country : US
Telephone Number : 740-454-9766
Fax Number : 740-588-6452
Provider Business Practice Location Address
First Line : 2845 BELL ST
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-1720
Country : US
Telephone Number : 740-454-9766
Fax Number : 740-588-6452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2023
Last Update Date : 02/20/2026

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