Provider Demographics
NPI:1205369121
Name:NORMAN, CASI DAWN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CASI
Middle Name:DAWN
Last Name:NORMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 E GARNER RD
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-7698
Mailing Address - Country:US
Mailing Address - Phone:317-580-9333
Mailing Address - Fax:317-818-8933
Practice Address - Street 1:69 E GARNER RD
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-7698
Practice Address - Country:US
Practice Address - Phone:317-852-3616
Practice Address - Fax:317-526-9698
Is Sole Proprietor?:No
Enumeration Date:2017-04-07
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71011200A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily