Provider Demographics
NPI:1326873951
Name:NOYCE, KATIE MARIE (CSFA/CSA/CST)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:MARIE
Last Name:NOYCE
Suffix:
Gender:F
Credentials:CSFA/CSA/CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:1152 VIA GALUPPI ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-3942
Mailing Address - Country:US
Mailing Address - Phone:252-489-3178
Mailing Address - Fax:
Practice Address - Street 1:1152 VIA GALUPPI ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-3942
Practice Address - Country:US
Practice Address - Phone:524-893-1782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant