1659695724 NPI number — MRS. GINA MARIE NORMAN CRNA

Table of content: MRS. GINA MARIE NORMAN CRNA (NPI 1659695724)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659695724 NPI number — MRS. GINA MARIE NORMAN CRNA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NORMAN
Provider First Name:
GINA
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
CRNA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KASINGER
Provider Other First Name:
GINA
Provider Other Middle Name:
STROUD
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CRNA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1659695724
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2240 S CREEK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEBO
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28761
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-500-3631
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
29 NETTLEWOOD DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ASHEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-500-3631
Provider Business Practice Location Address Fax Number:
828-274-7407
Provider Enumeration Date:
03/18/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367500000X , with the licence number:  084975 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 163W00000X , with the licence number: 195608 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8053795 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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