Provider Demographics
NPI:1225756281
Name:TAPHORN, NORMA BERNICE
Entity Type:Individual
Prefix:MISS
First Name:NORMA
Middle Name:BERNICE
Last Name:TAPHORN
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:NORMA
Other - Middle Name:BERNICE
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3191 CHURN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-2123
Mailing Address - Country:US
Mailing Address - Phone:530-224-7160
Mailing Address - Fax:530-224-7168
Practice Address - Street 1:3191 CHURN CREEK RD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-2123
Practice Address - Country:US
Practice Address - Phone:530-224-7160
Practice Address - Fax:530-224-7168
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-16
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator