Provider Demographics
NPI:1275546897
Name:CHRISTIAN, NORMA CAROLYN (CRNP)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:CAROLYN
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:
Other - Last Name:CHRISTIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP
Mailing Address - Street 1:2108 RAINBOW DR
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-5510
Mailing Address - Country:US
Mailing Address - Phone:256-547-0160
Mailing Address - Fax:256-547-0255
Practice Address - Street 1:2108 RAINBOW DR
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5510
Practice Address - Country:US
Practice Address - Phone:256-547-0160
Practice Address - Fax:256-547-0255
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1020494363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51531262OtherBCBSAL-RBC
AL51531262OtherBCBSAL-RBC