Individual
NOREEN C FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1419 W BELLA DR, MARION, IN 46953-5250
(765) 660-7580
Mailing address
1419 W BELLA DR, MARION, IN 46953-5250
(765) 660-7580
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01068603
IN
207V00000X
Obstetrics & Gynecology Physician
MD00027783
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000672807
BCBS
IN
01
—
113642
L & I
WA
01
—
160058993
RR MEDICARE
WA
05
—
200993280
—
IN
05
—
8141277
—
WA
Enumeration date
09/30/2005
Last updated
05/02/2023
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