Provider Demographics
NPI:1598560039
Name:NOBLE, PAYTON MANON (RN)
Entity type:Individual
Prefix:
First Name:PAYTON
Middle Name:MANON
Last Name:NOBLE
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4225 WARREN RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-2736
Mailing Address - Country:US
Mailing Address - Phone:813-695-4626
Mailing Address - Fax:
Practice Address - Street 1:4225 WARREN RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-2736
Practice Address - Country:US
Practice Address - Phone:813-695-4626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-189150163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse