MEDICARE: DANYALE 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	253Z00000X	In Home Supportive Care Agency	5816	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598463135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANYALE NORMAN

Provider Business Mailing Address
First Line	:	224 MAGNET COVE RD
Second Line	:
City	:	MALVERN
State	:	AR
Zip	:	72104-7905
Country	:	US
Telephone Number	:	501-732-5772
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 W 2ND ST STE A
Second Line	:
City	:	MALVERN
State	:	AR
Zip	:	72104-3702
Country	:	US
Telephone Number	:	501-732-5772
Fax Number	:

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

Provider Enumeration Date	:	02/22/2023
Last Update Date	:	12/05/2025

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Directions to “ DANYALE NORMAN ” Practice Location

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