Basic Information
Provider Information
NPI: 1881157071
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NORWOOD
FirstName: ARMIE
MiddleName: DECENA
NamePrefix:  
NameSuffix:  
Credential:  
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Mailing Information
Address1: 3533 S ALAMEDA ST
Address2:  
City: CORPUS CHRISTI
State: TX
PostalCode: 784111721
CountryCode: US
TelephoneNumber: 3616945000
FaxNumber: 3616941537
Practice Location
Address1: 5945 SARATOGA BLVD
Address2:  
City: CORPUS CHRISTI
State: TX
PostalCode: 784144225
CountryCode: US
TelephoneNumber: 3616945000
FaxNumber: 3616941537
Other Information
ProviderEnumerationDate: 04/13/2019
LastUpdateDate: 04/13/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XAP141366TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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