Provider Demographics
NPI:1114315074
Name:SILLIMAN, NORMA RUTH (RN)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:RUTH
Last Name:SILLIMAN
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 1:10915 NE 70TH CIR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-4672
Mailing Address - Country:US
Mailing Address - Phone:360-607-7546
Mailing Address - Fax:
Practice Address - Street 1:10915 NE 70TH CIR
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-4672
Practice Address - Country:US
Practice Address - Phone:360-607-7546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-30
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00122392163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology