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NPI Code Detail

MEDICARE: MIA NICOLE NORRIS

MEDICARE: MIA NICOLE NORRIS
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
1171M00000XCase Manager/Care Coordinator
2104100000XSocial WorkerS.2613969OH

General Provider Information

NPI Number : 1578408555
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIA NICOLE NORRIS
Provider Business Mailing Address
First Line : 4661 SAWMILL RD
Second Line :
City : UPPER ARLINGTON
State : OH
Zip : 43220-6123
Country : US
Telephone Number : 614-270-3110
Fax Number :
Provider Business Practice Location Address
First Line : 5120 GODOWN RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-7202
Country : US
Telephone Number : 614-210-0830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2026
Last Update Date : 06/03/2026

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Directions to “ MIA NICOLE NORRIS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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