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Individual
MELISSA ANN WHITFIELD NOBLE
Active
Individual
MELISSA ANN WHITFIELD NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA002627
PA
363AM0700X
Medical Physician Assistant
MA054806
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616049
GATEWAY MEDICARE ASSURED
PA
01
—
2679384
HIGHMARK BLUE SHIELD-FREEDOM BLUE
PA
Enumeration date
09/22/2008
Last updated
05/27/2014
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