Provider Demographics
NPI:1164660973
Name:NORWOOD, ALISON
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:NORWOOD
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 1:1434 N RANDALL AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53545-1136
Mailing Address - Country:US
Mailing Address - Phone:608-754-1177
Mailing Address - Fax:
Practice Address - Street 1:1434 N RANDALL AVE APT 6
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53545-1136
Practice Address - Country:US
Practice Address - Phone:608-754-1177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI33332-031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse