Individual
ALICIA NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
7651 HARVEST DR, SCHERERVILLE, IN 46375-3476
(219) 322-5723
(219) 440-5227
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71002612A
IN
363LF0000X
Family Nurse Practitioner
Primary
71002612A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200916140
—
IN
Enumeration date
02/17/2008
Last updated
03/04/2021
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