Provider Demographics
NPI:1073660114
Name:PLANCHOCK, NORANN Y (PHD, APRN, BC)
Entity Type:Individual
Prefix:DR
First Name:NORANN
Middle Name:Y
Last Name:PLANCHOCK
Suffix:
Gender:F
Credentials:PHD, APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10029 THORNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-7648
Mailing Address - Country:US
Mailing Address - Phone:318-798-3845
Mailing Address - Fax:318-677-3127
Practice Address - Street 1:1233 SPRAGUE STREET
Practice Address - Street 2:MARTIN LUTHER KING HEALTH CENTER
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101
Practice Address - Country:US
Practice Address - Phone:318-227-2912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN037722-AP01172363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily