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NPI Code Detail

MEDICARE: MRS. LAURA MARIE NORTMAN CNP

MEDICARE: MRS. LAURA MARIE NORTMAN CNP
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
1363L00000XNurse Practitioner022019OH
2363LF0000XFamily Nurse Practitioner022019OH

General Provider Information

NPI Number : 1861990517
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA MARIE NORTMAN CNP
Provider Business Mailing Address
First Line : PO BOX 932958 CLEVELAND OH 44193-0028.
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0028
Country : US
Telephone Number : 513-370-2040
Fax Number :
Provider Business Practice Location Address
First Line : 5910 HARRISON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45248-1606
Country : US
Telephone Number : 513-370-2040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2018
Last Update Date : 03/28/2025

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