NPI Code Details Logo

NPI 1255306874

NPI 1255306874 : SUZANNE B. NORGANG CNM : BLUE HILL, ME

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1255306874
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SUZANNE B. NORGANG CNM
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/17/2006
-----------------------------------------------------
    Last Update Date     |    01/12/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    57 WATER ST 
-----------------------------------------------------
    City                 |    BLUE HILL
-----------------------------------------------------
    State                |    ME
-----------------------------------------------------
    Zip                  |    04614
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    207-374-3940
-----------------------------------------------------
    Fax                  |    207-374-3980
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    57 WATER STREET 
-----------------------------------------------------
    City                 |    BLUE HILL
-----------------------------------------------------
    State                |    ME
-----------------------------------------------------
    Zip                  |    04614
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    207-374-3940
-----------------------------------------------------
    Fax                  |    207-374-3980
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    367A00000X
-----------------------------------------------------
    Taxonomy Name        |    Advanced Practice Midwife
-----------------------------------------------------
    License Number       |    CNM82084
-----------------------------------------------------
    License Number State |    ME
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    367A00000X
-----------------------------------------------------
    Taxonomy Name        |    Advanced Practice Midwife
-----------------------------------------------------
    License Number       |    MW010115
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.