# MS. AUDRA A NOONAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1083085575
- **Gender:** F
- **Credential:** PMHNP AGPCNP ,ACHPN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084H0002X | Hospice and Palliative Medicine (Psychiatry & Neurology) Physician | RN264353 | MA | — |
| 363L00000X | Nurse Practitioner | 264353 | MA | — |
| 363L00000X | Nurse Practitioner | APRN00762 | RI | — |
| 363LA2200X | Adult Health Nurse Practitioner | 264353 | MA | — |
| 363LA2200X | Adult Health Nurse Practitioner | APRN00762 | RI | — |
| 363LG0600X | Gerontology Nurse Practitioner | APRN00762 | RI | — |
| 363LG0600X | Gerontology Nurse Practitioner | RN264353 | MA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN264353 | MA | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | APRN00762 | RI | — |

## Other

- **Enumeration date:** 10/09/2015
- **Last updated:** 05/12/2026