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NPI Code Detail

MEDICARE: MICHELE NORRIS PA-C

MEDICARE: MICHELE NORRIS PA-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
1363A00000XPhysician AssistantMED-PAC-LIC-90352MT

General Provider Information

NPI Number : 1700483880
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE NORRIS PA-C
Provider Business Mailing Address
First Line : 1100 HOLLENBECK LN
Second Line :
City : DEER LODGE
State : MT
Zip : 59722-2317
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1100 HOLLENBECK LN
Second Line :
City : DEER LODGE
State : MT
Zip : 59722-2317
Country : US
Telephone Number : 406-846-1722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2020
Last Update Date : 10/02/2024

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Directions to “ MICHELE NORRIS PA-C” Practice Location

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