Individual
TANJA L NOECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1209
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248145
MIDLAND'S CHOICE
NE
01
—
37836
BCBS - ELIM
NE
01
—
37837
BCBS - LINC CARE
NE
Enumeration date
08/03/2006
Last updated
02/27/2008
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