Provider Demographics
NPI:1679088025
Name:NORMAN, MICHELE MARIE (RN, APRN)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:MARIE
Last Name:NORMAN
Suffix:
Gender:F
Credentials:RN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37610 BUTTERNUT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-8464
Mailing Address - Country:US
Mailing Address - Phone:440-453-6879
Mailing Address - Fax:440-696-3116
Practice Address - Street 1:37610 BUTTERNUT RIDGE RD
Practice Address - Street 2:
Practice Address - City:NORTH RIDGEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44039-8464
Practice Address - Country:US
Practice Address - Phone:440-453-6879
Practice Address - Fax:440-696-3116
Is Sole Proprietor?:No
Enumeration Date:2017-12-07
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH441400163W00000X
OHAPRN.CNP.024398363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse