Provider Demographics
NPI:1508203787
Name:JOICE, NORA LEE
Entity Type:Individual
Prefix:MRS
First Name:NORA
Middle Name:LEE
Last Name:JOICE
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 1:1717B S UTICA AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5333
Mailing Address - Country:US
Mailing Address - Phone:918-744-2444
Mailing Address - Fax:
Practice Address - Street 1:1717B S UTICA AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-5333
Practice Address - Country:US
Practice Address - Phone:918-744-2444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered