Provider Demographics
NPI:1114320231
Name:POINDEXTER, NORMA LEATRICE (DNP, RN, CCRN)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:LEATRICE
Last Name:POINDEXTER
Suffix:
Gender:F
Credentials:DNP, RN, CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 SUGAR SPRINGS DR SW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30008-3525
Mailing Address - Country:US
Mailing Address - Phone:404-630-3520
Mailing Address - Fax:770-919-0304
Practice Address - Street 1:1106 SUGAR SPRINGS DR SW
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30008-3525
Practice Address - Country:US
Practice Address - Phone:404-630-3520
Practice Address - Fax:770-919-0304
Is Sole Proprietor?:No
Enumeration Date:2014-10-02
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN159043163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine