Healthcare Provider Details

I. General information

NPI: 1174711451
Provider Name (Legal Business Name): LYNNE M. NORRIE R.N.,M.S.N.,C.N.S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2007
Last Update Date: 10/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2513 YATES ST
DENVER CO
80212-1348
US

IV. Provider business mailing address

2513 YATES ST
DENVER CO
80212-1348
US

V. Phone/Fax

Practice location:
  • Phone: 303-715-8341
  • Fax:
Mailing address:
  • Phone: 303-715-8341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP1700X
TaxonomyPerinatal Registered Nurse
License Number171985
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: