Provider Demographics
NPI:1124457320
Name:ROGERS-NOAKES, ANNA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:ROGERS-NOAKES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3832 HIGH POINT CT
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-5023
Mailing Address - Country:US
Mailing Address - Phone:405-364-2369
Mailing Address - Fax:
Practice Address - Street 1:3832 HIGH POINT CT
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-5023
Practice Address - Country:US
Practice Address - Phone:405-364-2369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator