Individual
NOEL COURTNEY PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
911 N SHELBY ST, SALEM, IN 47167-2304
(812) 883-5881
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28150634A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000249975
SIA ANTHEM
IN
05
—
200357620
—
IN
Enumeration date
09/14/2005
Last updated
11/21/2014
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