Provider Demographics
NPI:1972340479
Name:SILEY, NORMA R (RN)
Entity type:Individual
Prefix:MS
First Name:NORMA
Middle Name:R
Last Name:SILEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16861 VENTURA BLVD STE 309
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1772
Mailing Address - Country:US
Mailing Address - Phone:818-789-3250
Mailing Address - Fax:818-981-1476
Practice Address - Street 1:16861 VENTURA BLVD STE 309
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1772
Practice Address - Country:US
Practice Address - Phone:818-789-3250
Practice Address - Fax:818-981-1476
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA338101163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse