Provider Demographics
NPI:1174035109
Name:PRIZER, NORMA DENNIS (RN)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:DENNIS
Last Name:PRIZER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:NORMA
Other - Middle Name:RUTH
Other - Last Name:DENNIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6350 W ANDREW JOHNSON HWY DEPT 100
Mailing Address - Street 2:
Mailing Address - City:TALBOTT
Mailing Address - State:TN
Mailing Address - Zip Code:37877-8605
Mailing Address - Country:US
Mailing Address - Phone:800-355-3565
Mailing Address - Fax:423-714-2355
Practice Address - Street 1:320 8TH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:TN
Practice Address - Zip Code:37821-3902
Practice Address - Country:US
Practice Address - Phone:423-623-4893
Practice Address - Fax:865-225-2187
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN39278163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse