Provider Demographics
NPI:1659695724
Name:NORMAN, GINA MARIE (CRNA)
Entity type:Individual
Prefix:MRS
First Name:GINA
Middle Name:MARIE
Last Name:NORMAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:STROUD
Other - Last Name:KASINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:2240 S CREEK RD
Mailing Address - Street 2:
Mailing Address - City:NEBO
Mailing Address - State:NC
Mailing Address - Zip Code:28761
Mailing Address - Country:US
Mailing Address - Phone:704-500-3631
Mailing Address - Fax:
Practice Address - Street 1:29 NETTLEWOOD DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803
Practice Address - Country:US
Practice Address - Phone:704-500-3631
Practice Address - Fax:828-274-7407
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-18
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC084975367500000X
NC195608163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8053795Medicaid
NC8053795Medicaid