Provider Demographics
NPI:1982038675
Name:NOE, AMBER N (STNA)
Entity type:Individual
Prefix:MISS
First Name:AMBER
Middle Name:N
Last Name:NOE
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3068 MARION WALDO RD LOT 113
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-8486
Mailing Address - Country:US
Mailing Address - Phone:740-262-8688
Mailing Address - Fax:
Practice Address - Street 1:3068 MARION WALDO RD LOT 113
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-8486
Practice Address - Country:US
Practice Address - Phone:740-262-8688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4014880202133747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant