Individual
BROOKE E NOELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1240 LEE ST, CHARLOTTESVILLE, VA 22908-1815
(434) 924-9333
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(342) 951-0000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0110005999
VA
363A00000X
Physician Assistant
Primary
0110005999
VA
363A00000X
Physician Assistant
PA9108552
FL
Other
Enumeration date
06/09/2015
Last updated
02/16/2024
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