Provider Demographics
NPI:1700322401
Name:CYRUS, NORMA VERONICA (RN)
Entity Type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:VERONICA
Last Name:CYRUS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:NORMA
Other - Middle Name:VERONICA
Other - Last Name:SY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:813 CLAY HILL DR
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-9283
Mailing Address - Country:US
Mailing Address - Phone:919-247-8938
Mailing Address - Fax:
Practice Address - Street 1:813 CLAY HILL DR
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-9283
Practice Address - Country:US
Practice Address - Phone:919-247-8938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC84910163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical