Provider Demographics
NPI:1093343535
Name:NOEL, MARIE CARMELLE
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:CARMELLE
Last Name:NOEL
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 1:800 SADIE ANN CT
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-3445
Mailing Address - Country:US
Mailing Address - Phone:615-429-6327
Mailing Address - Fax:615-429-6327
Practice Address - Street 1:800 SADIE ANN CT
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-3445
Practice Address - Country:US
Practice Address - Phone:615-429-6327
Practice Address - Fax:615-429-6327
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility