Individual
THERESA A NOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
105 VINEYARD WAY, WEST GROVE, PA 19390
(610) 444-7550
(610) 444-4656
Mailing address
105 VINEYARD WAY, WEST GROVE, PA 19390-8849
(610) 444-7550
(610) 444-4656
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
LK-0000152
DE
367A00000X
Advanced Practice Midwife
Primary
MW010308
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102894218
—
PA
Enumeration date
11/04/2009
Last updated
08/22/2018
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