Provider Demographics
NPI:1083893598
Name:NUTTER, NORAH ANN (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:NORAH
Middle Name:ANN
Last Name:NUTTER
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:MRS
Other - First Name:NORAH
Other - Middle Name:SMITH
Other - Last Name:NUTTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:WHNP
Mailing Address - Street 1:1616 N MAIN ST STE 100B
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354-4473
Mailing Address - Country:US
Mailing Address - Phone:276-378-3920
Mailing Address - Fax:276-378-3921
Practice Address - Street 1:1616 N MAIN ST STE 100B
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354
Practice Address - Country:US
Practice Address - Phone:276-378-3920
Practice Address - Fax:276-378-3921
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPN2588363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health