Provider Demographics
NPI:1437894375
Name:NORMAN, GLORIA FAY
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:FAY
Last Name:NORMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 TODD PL NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1379
Mailing Address - Country:US
Mailing Address - Phone:202-706-0852
Mailing Address - Fax:
Practice Address - Street 1:5505 5TH ST NW STE 403
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-6513
Practice Address - Country:US
Practice Address - Phone:202-706-0852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-04
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant