Provider Demographics
NPI:1538270582
Name:NOE, ROBIN ANN (CNA)
Entity type:Individual
Prefix:MISS
First Name:ROBIN
Middle Name:ANN
Last Name:NOE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 BONNIE LN
Mailing Address - Street 2:
Mailing Address - City:CAMANO ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98282-7688
Mailing Address - Country:US
Mailing Address - Phone:425-293-6988
Mailing Address - Fax:
Practice Address - Street 1:1707 BONNIE LN
Practice Address - Street 2:
Practice Address - City:CAMANO ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98282-7688
Practice Address - Country:US
Practice Address - Phone:425-293-6988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANC10063329376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide