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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOPHIA DELORISE NORMAN, LPN 059343

Active Sole Proprietor

SOPHIA DELORISE NORMAN, LPN 059343 is a Licensed Vocational Nurse healthcare provider located in KENNESAW, Georgia. NPI 1043770399 is currently active in the NPPES registry. Verify at CMS.

Licensed Vocational Nurse · KENNESAW, GA

Registration Details

NPI Number
1043770399
Provider Type
Individual
Gender
Female
NPI Issued
Mar 22, 2019 (7.4255632297117 yrs)
Last Updated
Mar 22, 2019
License
059343 (GA)
Sole Proprietor
Yes

Practice Information

Address
2701 TREES OF KENNESAW PKWY NW
KENNESAW, GA, 301528223
Browse GA providers · Browse ZIP 30152
Phone
4044915190
Primary Specialty
Licensed Vocational Nurse
164X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.