Provider Demographics
NPI:1902669831
Name:PURMAL, NORMAN ALEXANDER (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:ALEXANDER
Last Name:PURMAL
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:712 CHIPPEWA SQ
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-4827
Mailing Address - Country:US
Mailing Address - Phone:906-225-7660
Mailing Address - Fax:906-225-7665
Practice Address - Street 1:712 CHIPPEWA SQ
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4827
Practice Address - Country:US
Practice Address - Phone:906-225-7660
Practice Address - Fax:906-225-7665
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704372610363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily