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Contact Information

SHANNON R NORMAN, MD
4100 LAKE OTIS PKWY STE 312
ANCHORAGE, AK99508-5231
 Phone: 907-929-3773
 Fax: 907-929-7330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SHANNON R NORMAN · (Female)

NPI # 1982881421
Status Active
Credentials MD
Entity Individual
Enumeration date 01/28/2008
Last updated 03/02/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • AK License # 7357
  • AK Medicaid 1576741
Hospital affiliation(s)
  • PROVIDENCE ALASKA MEDICAL CENTER - (Acute Care)
    BOX 196604
    ANCHORAGE, AK 99508
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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