Provider Demographics
NPI:1912978362
Name:CHEESEBROW, NORMA J (WHNP)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:J
Last Name:CHEESEBROW
Suffix:
Gender:F
Credentials:WHNP
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Mailing Address - Street 1:8100 34TH AVE S
Mailing Address - Street 2:MC21110Q
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1672
Mailing Address - Country:US
Mailing Address - Phone:952-883-7172
Mailing Address - Fax:952-883-5395
Practice Address - Street 1:3930 NORTHWOODS DR
Practice Address - Street 2:MAIL STOP 32800A
Practice Address - City:ARDEN HILLS
Practice Address - State:MN
Practice Address - Zip Code:55112-6974
Practice Address - Country:US
Practice Address - Phone:651-490-6700
Practice Address - Fax:651-490-6730
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN0759403363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P09808Medicare UPIN