ELAINE MARIE NOONAN FNP NPI 1902859218

NPI Information

NPI: 1902859218
Provider Name: ELAINE MARIE NOONAN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
877 W FARIS RD
SUITE D
GREENVILLE, SC
ZIP 29605
Phone: (864) 455-9031
Get Directions

Elaine Marie Noonan, FNP is a family nurse practitioner in Greenville, SC. Elaine Marie Noonan, FNP NPI is 1902859218. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

877 W FARIS RD
SUITE D
GREENVILLE, SC
ZIP 29605-254
Phone: (864) 455-9031
Fax: (864) 455-9080

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	3080	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	576007863063	OTHER	SOUTH CAROLINA	BCBS OF SC
2	NP1094	MEDICAID	SOUTH CAROLINA
3	AA18347951	MEDICARE PIN	SOUTH CAROLINA
4	P00437305	OTHER	SOUTH CAROLINA	RR MEDICARE
5	AA18343640	MEDICARE PIN	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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