Individual
ELAINE MARIE NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
877 W FARIS RD, SUITE D, GREENVILLE, SC 29605-4254
(864) 455-9031
(864) 455-9080
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3080
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576007863063
BCBS OF SC
SC
05
—
NP1094
—
SC
01
—
P00437305
RR MEDICARE
SC
Enumeration date
05/18/2006
Last updated
08/23/2013
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