Individual
MRS. SUSAN RENEE NOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3002148
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3002148
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78001468
—
KY
Enumeration date
01/13/2006
Last updated
07/21/2022
Update your record
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