Angelica Norman, APRN
Nurse Practitioner, Family in Port St Lucie, FL. Individual provider (NPI-1).
NPI number1124636089
StatusActive
Last updated in NPPESJul 16, 2020
Details
- NPI
- 1124636089
- Entity type
- Individual (NPI-1)
- Name
- Angelica Norman
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2020
- Certification date
- Jul 16, 2020
- Last updated
- Jul 16, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11007621 | FL | Yes |
Practice location
1822 Se Port St Lucie BlvdPort St Lucie, FL 34952-5545
Phone 772-337-2001
Mailing address
2884 Se Pace DrPort St Lucie, FL 34984-6219
Phone 772-607-1813
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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