| Doctor Name: | PATRICIA J NORDMAN |
| NPI Number: | 1225028350 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 209001503 |
| Business Practice Address: | 405 Charles St University Primary Care Clinic @ Mt Morris Mount Morris, IL - 610541646 |
| Business Phone Number: | 8157346061 |
| Business Fax Number: | 8157349021 |
| Mailing Address: | 1601 Parkview Ave, Credentialing S200 ROCKFORD |
| State: | IL |
| Postal Code: | 611071822 |
| Phone Number: | 8157346061 |
| Fax Number: | 8157349021 |
| NPI Enumeration Date: | 10/28/2005 |
| NPI Last Update Date: | 12/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209001503 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |