MEDICARE: HAROLD NORMAN

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
1	363LF0000X	Family Nurse Practitioner	202957	LA

General Provider Information

NPI Number	:	1437082914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAROLD NORMAN

Provider Business Mailing Address
First Line	:	100 BURT CIR
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-4029
Country	:	US
Telephone Number	:	337-322-9259
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 GUILBEAU RD
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-6138
Country	:	US
Telephone Number	:	337-889-3817
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “ HAROLD NORMAN ” Practice Location

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