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NPI Code Detail

MEDICARE: BARBARA NORUM RN

MEDICARE: BARBARA NORUM RN
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
1163W00000XRegistered Nurse773900CA

General Provider Information

NPI Number : 1245647080
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA NORUM RN
Provider Business Mailing Address
First Line : 510 17TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94612-1553
Country : US
Telephone Number : 510-433-1150
Fax Number :
Provider Business Practice Location Address
First Line : 510 17TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94612-1553
Country : US
Telephone Number : 510-433-1150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2014
Last Update Date : 07/14/2014

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Directions to “ BARBARA NORUM RN” Practice Location

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