Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | H106287 | IA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | A106287 | IA |
NPI | 1063819282 |
---|---|
Provider Name | Tanya Ann Norman |
First Address | West Des Moines, IA 50266-7700 |
Second Address | Des Moines, IA 50309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2014 |
Last Update Date | 03/05/2021 |