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NPI Code Detail

MEDICARE: ANGELA NORMAN FNP

MEDICARE: ANGELA NORMAN FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerA01503AR

General Provider Information

NPI Number : 1174613962
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA NORMAN FNP
Provider Business Mailing Address
First Line : 403 W OAK ST
Second Line : SUITE 200
City : EL DORADO
State : AR
Zip : 71730-4586
Country : US
Telephone Number : 870-863-2000
Fax Number : 870-863-5442
Provider Business Practice Location Address
First Line : 403 W OAK ST
Second Line : SUITE 200
City : EL DORADO
State : AR
Zip : 71730-4586
Country : US
Telephone Number : 870-863-2000
Fax Number : 870-863-5442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 12/10/2025

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