Provider Demographics
NPI:1083180442
Name:ANATOLE, NOELITA
Entity Type:Individual
Prefix:
First Name:NOELITA
Middle Name:
Last Name:ANATOLE
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 1:1122 LEADENHALL CIR
Mailing Address - Street 2:
Mailing Address - City:CHANNELVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:77530-4760
Mailing Address - Country:US
Mailing Address - Phone:281-684-3519
Mailing Address - Fax:
Practice Address - Street 1:1122 LEADENHALL CIR
Practice Address - Street 2:
Practice Address - City:CHANNELVIEW
Practice Address - State:TX
Practice Address - Zip Code:77530-4760
Practice Address - Country:US
Practice Address - Phone:281-684-3519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX906434163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse