Individual
NOELIA JOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 PRAIRIE AVE, PROVIDENCE, RI 02905-1928
(401) 444-0570
Mailing address
355 PRAIRIE AVE, PROVIDENCE, RI 02905-1928
(401) 444-0570
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN63985
RI
163WC0400X
Case Management Registered Nurse
RN63985
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10238337
—
RI
Enumeration date
12/23/2020
Last updated
12/29/2020
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