Individual
HAILEY MAIREAD NOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2000 CORPORATE DR, WEXFORD, PA 15090-7611
(724) 940-9190
Mailing address
758 DONEGAL DR, BETHEL PARK, PA 15102-1322
(412) 925-4198
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA006014
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OA006014
MEDICAL PHYSICIAN ASSISTANT
PA
Enumeration date
02/09/2022
Last updated
02/09/2022
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