MEDICARE: NORMA L CANO FNP-C

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	363LP2300X	Primary Care Nurse Practitioner	5007532	NC
2	363LF0000X	Family Nurse Practitioner	5007532	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4487	OTHER	SC	RN MULTI-STATE LICENSE
2	F0609259	OTHER	TX	FNP-C

General Provider Information

NPI Number	:	1568798254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORMA L CANO FNP-C

Provider Business Mailing Address
First Line	:	6700 ALBEMARLE RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28212-3856
Country	:	US
Telephone Number	:	704-921-1000
Fax Number	:	704-921-1022

Provider Business Practice Location Address
First Line	:	6700 ALBEMARLE RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28212-3856
Country	:	US
Telephone Number	:	704-921-1000
Fax Number	:	704-921-1022

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

Provider Enumeration Date	:	10/30/2009
Last Update Date	:	07/22/2022

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Directions to “ NORMA L CANO FNP-C” Practice Location

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