Doctor Name: | ADAM NOBLE |
NPI Number: | 1104209014 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP-C |
License Number: | COA. 17599-NP |
Business Practice Address: | 2120 Stringtown Rd Grove City, OH - 431232931 |
Business Phone Number: | 6148757884 |
Business Fax Number: | |
Mailing Address: | 3750 State Route 752, ASHVILLE |
State: | OH |
Postal Code: | 431039544 |
Phone Number: | 7402076224 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2015 |
NPI Last Update Date: | 07/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA. 17599-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |