Doctor Name: | AMY NOONAN |
NPI Number: | 1336435080 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | PENDING |
Business Practice Address: | 208 S Main St Howard, SD - 573498813 |
Business Phone Number: | 6057724574 |
Business Fax Number: | |
Mailing Address: | 208 S Main St, HOWARD |
State: | SD |
Postal Code: | 573498813 |
Phone Number: | 6057724574 |
Fax Number: | |
NPI Enumeration Date: | 06/21/2011 |
NPI Last Update Date: | 06/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | PENDING |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |