Provider Demographics
NPI:1568605855
Name:NORLAND, RICHARD NICK (IDMT-PARAMEDIC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:NICK
Last Name:NORLAND
Suffix:
Gender:M
Credentials:IDMT-PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 CHICKASAW CIR
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-3514
Mailing Address - Country:US
Mailing Address - Phone:406-250-7354
Mailing Address - Fax:
Practice Address - Street 1:309 CHICKASAW CIR
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-3514
Practice Address - Country:US
Practice Address - Phone:406-250-7354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians