Provider Demographics
NPI:1417182114
Name:HOUGH, NORMAN DEON (BSN RN, BA)
Entity Type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:DEON
Last Name:HOUGH
Suffix:
Gender:M
Credentials:BSN RN, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 ALA WAI BLVD APT 2004
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-3908
Mailing Address - Country:US
Mailing Address - Phone:404-379-5644
Mailing Address - Fax:
Practice Address - Street 1:2611 ALA WAI BLVD APT 2004
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-3908
Practice Address - Country:US
Practice Address - Phone:404-379-5644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-25
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-107032163W00000X
MARN2263247163W00000X
NY708860163W00000X
CA740710163WC0200X
NC204087163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine