Doctor Name: | NORMA J ENGESSER |
NPI Number: | 1184836058 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | REGISTERED NURSE |
License Number: | RN036279 |
Business Practice Address: | 185 Scoggins Dr Demorest, GA - 305355355 |
Business Phone Number: | 1706778715 |
Business Fax Number: | 1706776769 |
Mailing Address: | 129 Hazel Wood Dr, MOUNT AIRY |
State: | GA |
Postal Code: | 305633131 |
Phone Number: | 1706776731 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN036279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |