Provider Demographics
NPI:1316238702
Name:NOAKS, CIEAIRA FANNIECEA (BSN, RN)
Entity type:Individual
Prefix:
First Name:CIEAIRA
Middle Name:FANNIECEA
Last Name:NOAKS
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 PONTIAC ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-4059
Mailing Address - Country:US
Mailing Address - Phone:614-353-4131
Mailing Address - Fax:
Practice Address - Street 1:2900 PONTIAC ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-4059
Practice Address - Country:US
Practice Address - Phone:614-353-4131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN358579163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse