Provider Demographics
NPI:1033509716
Name:NOBLES, ALYSON
Entity Type:Individual
Prefix:MRS
First Name:ALYSON
Middle Name:
Last Name:NOBLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:692 BROOKLEDGE CT
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44067-3086
Mailing Address - Country:US
Mailing Address - Phone:216-952-8124
Mailing Address - Fax:
Practice Address - Street 1:692 BROOKLEDGE CT
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:OH
Practice Address - Zip Code:44067-3086
Practice Address - Country:US
Practice Address - Phone:216-952-8124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1033509716Medicaid