Provider Demographics
NPI:1205073806
Name:GINN, NORMAN NATHAN (RN)
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:NATHAN
Last Name:GINN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11777 IDEAL RD
Mailing Address - Street 2:
Mailing Address - City:BYESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43723-9523
Mailing Address - Country:US
Mailing Address - Phone:740-680-0085
Mailing Address - Fax:
Practice Address - Street 1:11777 IDEAL RD
Practice Address - Street 2:
Practice Address - City:BYESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43723-9523
Practice Address - Country:US
Practice Address - Phone:740-680-0085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-19
Last Update Date:2009-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 275711163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse