MEDICARE: TERIL H NORMAN APN

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	363L00000X	Nurse Practitioner	APN000800	NV

General Provider Information

NPI Number	:	1609958511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERIL H NORMAN APN

Provider Business Mailing Address
First Line	:	6880 S MCCARRAN BLVD STE 5
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-6129
Country	:	US
Telephone Number	:	775-828-2333
Fax Number	:	775-828-2344

Provider Business Practice Location Address
First Line	:	6880 S MCCARRAN BLVD STE 5
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-6129
Country	:	US
Telephone Number	:	775-828-2333
Fax Number	:	775-828-2344

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

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	07/08/2007

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Directions to “ TERIL H NORMAN APN” Practice Location

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