Individual
AMY NOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, SUITE 101, ABINGDON, VA 24211-7664
(276) 258-1777
(276) 258-1778
Mailing address
16000 JOHNSTON MEMORIAL DR, SUITE 101, ABINGDON, VA 24211-7664
(276) 258-1777
(276) 258-1778
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024171168
VA
363LF0000X
Family Nurse Practitioner
17802
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609293026
—
VA
Enumeration date
03/24/2014
Last updated
02/07/2017
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