Provider Demographics
NPI:1093576746
Name:HAMEL, NORMA JEAN (NP)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:JEAN
Last Name:HAMEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:NORMA
Other - Middle Name:JEAN
Other - Last Name:OLLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:29881 VISTA RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:92596-3540
Mailing Address - Country:US
Mailing Address - Phone:330-524-5841
Mailing Address - Fax:
Practice Address - Street 1:1215 N WABASH AVE
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-4963
Practice Address - Country:US
Practice Address - Phone:909-794-0200
Practice Address - Fax:909-794-0204
Is Sole Proprietor?:No
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95018895363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care