Provider Demographics
NPI:1275034845
Name:DAMRON, NORMAN EDWARD (CRNP)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:EDWARD
Last Name:DAMRON
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:931 HIGHLAND BLVD
Mailing Address - Street 2:STE 3130
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-6914
Mailing Address - Country:US
Mailing Address - Phone:406-414-5070
Mailing Address - Fax:406-414-5029
Practice Address - Street 1:350 HERITAGE WAY STE 1100
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3160
Practice Address - Country:US
Practice Address - Phone:406-752-8900
Practice Address - Fax:406-752-8909
Is Sole Proprietor?:No
Enumeration Date:2018-02-28
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-191017363LA2100X
GAGAA-NP001537363LA2100X
AL1-149780363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care