Provider Demographics
NPI:1568798254
Name:CANO, NORMA L (FNP-C)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:L
Last Name:CANO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 ALBEMARLE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-3856
Mailing Address - Country:US
Mailing Address - Phone:704-921-1000
Mailing Address - Fax:704-921-1022
Practice Address - Street 1:6700 ALBEMARLE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-3856
Practice Address - Country:US
Practice Address - Phone:704-921-1000
Practice Address - Fax:704-921-1022
Is Sole Proprietor?:No
Enumeration Date:2009-10-30
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5007532363LP2300X, 363LF0000X
SC4487363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC4487OtherRN MULTI-STATE LICENSE
TXF0609259OtherFNP-C
SCAA6646Medicare UPIN
TXF0609259OtherFNP-C
SCAA6646Medicare UPIN