Healthcare Provider Details

I. General information

NPI: 1558617506
Provider Name (Legal Business Name): EMILY CATHERINE NORMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY CATHERINE BARTLING NP

II. Dates (important events)

Enumeration Date: 07/27/2012
Last Update Date: 06/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17301 E SPRING VALLEY RD STE F
SPRING VALLEY AZ
86333
US

IV. Provider business mailing address

17301 E SPRING VALLEY RD STE F
SPRING VALLEY AZ
86333-4263
US

V. Phone/Fax

Practice location:
  • Phone: 928-632-4909
  • Fax: 928-632-4973
Mailing address:
  • Phone: 928-632-4909
  • Fax: 928-632-4973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP4485
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: