Provider Demographics
NPI:1144119769
Name:MCGANN, NORA ELIZABETH
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:ELIZABETH
Last Name:MCGANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2151 HAMLINE AVE N STE 200
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-5571
Mailing Address - Country:US
Mailing Address - Phone:651-583-5565
Mailing Address - Fax:651-583-5566
Practice Address - Street 1:2151 HAMLINE AVE N STE 200
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-5571
Practice Address - Country:US
Practice Address - Phone:651-583-5565
Practice Address - Fax:651-583-5566
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN34755104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker