Individual
GREGORY LANCE NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 558-4194
(513) 558-0995
Mailing address
PO BOX 636256, CENTRAL CREDENTALING, CINCINNATI, OH 45263-6256
(513) 558-5502
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1106897
KY
163W00000X
Registered Nurse
RN.364101
OH
367500000X
Certified Registered Nurse Anesthetist
APRN11011916
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.14120-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078853
—
OH
05
—
201255310
—
IN
05
—
7100233380
—
KY
Enumeration date
10/24/2012
Last updated
11/14/2024
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