Healthcare Provider Details

I. General information

NPI: 1144124140
Provider Name (Legal Business Name): CIERRA DANEE NORGAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 N GRAND ST
SCHOOLCRAFT MI
49087-5110
US

IV. Provider business mailing address

63552 E FISH LAKE RD
STURGIS MI
49091-9312
US

V. Phone/Fax

Practice location:
  • Phone: 269-762-0223
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4704390426
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: