Doctor Name: | DIANE LYNNE NOLL |
NPI Number: | 1215196076 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00096100 |
Business Practice Address: | 128 Crest Haven Rd Cape May Court House, NJ - 082101651 |
Business Phone Number: | 6094654100 |
Business Fax Number: | 6097786173 |
Mailing Address: | 3 Somers Ave, OCEAN VIEW |
State: | NJ |
Postal Code: | 082301505 |
Phone Number: | 6096243689 |
Fax Number: | 6096241841 |
NPI Enumeration Date: | 06/06/2008 |
NPI Last Update Date: | 08/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 26NJ00096100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |