Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | APN2588 | SC |
NPI | 1083893598 |
---|---|
Provider Name | Mrs. Norah Ann Nutter |
First Address | Marion, VA 24354-4473 |
Second Address | Marion, VA 24354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2007 |
Last Update Date | 20/06/2018 |