Doctor Name: | MARYANN PATRICIA NOBLE |
NPI Number: | 1235255175 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 548287 |
Business Practice Address: | 1 Saint Johns Rd Hampton Bays, NY - 119462612 |
Business Phone Number: | 6317230138 |
Business Fax Number: | |
Mailing Address: | 34 Donellan Rd, HAMPTON BAYS |
State: | NY |
Postal Code: | 119462820 |
Phone Number: | 6318303892 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 548287 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |