Provider Demographics
NPI:1598819534
Name:NORMAN, DAWN R (CNM, FNP-BC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:R
Last Name:NORMAN
Suffix:
Gender:F
Credentials:CNM, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1161 21ST AVE S
Mailing Address - Street 2:R-1217 MEDICAL CENTER NORTH
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0011
Mailing Address - Country:US
Mailing Address - Phone:615-322-3385
Mailing Address - Fax:615-343-8806
Practice Address - Street 1:1161 21ST AVE S
Practice Address - Street 2:R-1217 MEDICAL CENTER NORTH
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0011
Practice Address - Country:US
Practice Address - Phone:615-322-3385
Practice Address - Fax:615-343-8806
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15714367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX185339201Medicaid
TX8Y1421OtherBCBS
TX8K3773Medicare UPIN
Q79096Medicare UPIN
TXTXB105890Medicare PIN
TX185339201Medicaid