Provider Demographics
NPI:1891852208
Name:NORMAN, LINDA M (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:NORMAN
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14805 N SPRING RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:BALCH SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75180-4317
Mailing Address - Country:US
Mailing Address - Phone:214-505-1289
Mailing Address - Fax:
Practice Address - Street 1:2377 N STEMMONS FWY
Practice Address - Street 2:SUITE 336
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75207-2710
Practice Address - Country:US
Practice Address - Phone:214-819-6522
Practice Address - Fax:214-819-1981
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX686733363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX197401605Medicaid
TX8Y1430OtherBLUE CROSS BLUE SHIELD
TX197401604Medicaid
TX197401607Medicaid
TX197401601Medicaid
TX197401602Medicaid
TX197401606Medicaid
TX197401609Medicaid
TX197401603Medicaid
TX197401608Medicaid
TX197401610Medicaid