MEDICARE: MICHELLE ANNE NORVELL APRN

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	363LF0000X	Family Nurse Practitioner	RN48699	NV

General Provider Information

NPI Number	:	1992176044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE ANNE NORVELL APRN

Provider Business Mailing Address
First Line	:	3200 SOARING GULLS DR STE 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-2198
Country	:	US
Telephone Number	:	702-201-1400
Fax Number	:	702-915-7514

Provider Business Practice Location Address
First Line	:	3200 SOARING GULLS DR STE 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-2198
Country	:	US
Telephone Number	:	702-201-1400
Fax Number	:	702-915-7514

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

Provider Enumeration Date	:	10/15/2015
Last Update Date	:	01/11/2023

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