Healthcare Provider Details

I. General information

NPI: 1982808317
Provider Name (Legal Business Name): DANA L NORVELL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9708 W 147TH ST
OVERLAND PARK KS
66221-9678
US

IV. Provider business mailing address

9708 W 147TH ST
OVERLAND PARK KS
66221-9678
US

V. Phone/Fax

Practice location:
  • Phone: 913-402-8132
  • Fax:
Mailing address:
  • Phone: 913-402-8132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14018
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1-13223
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number45215
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: