Provider Demographics
NPI:1053043000
Name:NORVELL, FABIOLA (RN)
Entity Type:Individual
Prefix:DR
First Name:FABIOLA
Middle Name:
Last Name:NORVELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3424 HARVEST BOUNTY DR APT 6212
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1187
Mailing Address - Country:US
Mailing Address - Phone:818-813-4601
Mailing Address - Fax:
Practice Address - Street 1:3424 HARVEST BOUNTY DR APT 6212
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1187
Practice Address - Country:US
Practice Address - Phone:818-813-4601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95216813163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse