Healthcare Provider Details

I. General information

NPI: 1285779629
Provider Name (Legal Business Name): MARIE A NORRIS A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 SW 4TH AVE
GAINESVILLE FL
32601-6457
US

IV. Provider business mailing address

5120 NW 149TH TER
ALACHUA FL
32615-7710
US

V. Phone/Fax

Practice location:
  • Phone: 352-378-2882
  • Fax: 352-377-8250
Mailing address:
  • Phone: 352-332-7177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number0978622
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: