Provider Demographics
NPI:1982808317
Name:NORVELL, DANA L (PHARMD)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:L
Last Name:NORVELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9708 W 147TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66221-9678
Mailing Address - Country:US
Mailing Address - Phone:913-402-8132
Mailing Address - Fax:
Practice Address - Street 1:9708 W 147TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66221-9678
Practice Address - Country:US
Practice Address - Phone:913-402-8132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14018183500000X
KS1-13223183500000X
MO45215183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist