Provider Demographics
NPI:1194154419
Name:NORBY, MARIANA L (RN, MS, CNS)
Entity type:Individual
Prefix:
First Name:MARIANA
Middle Name:L
Last Name:NORBY
Suffix:
Gender:F
Credentials:RN, MS, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9323 N SAYBROOK DR
Mailing Address - Street 2:227
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0829
Mailing Address - Country:US
Mailing Address - Phone:916-952-6997
Mailing Address - Fax:
Practice Address - Street 1:9323 N SAYBROOK DR
Practice Address - Street 2:227
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-0829
Practice Address - Country:US
Practice Address - Phone:916-952-6997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3928364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist