Provider Demographics
NPI:1093901290
Name:NOSER, PATRICIA SUSAN (CNP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:SUSAN
Last Name:NOSER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 786
Mailing Address - Street 2:
Mailing Address - City:SPRUCE PINE
Mailing Address - State:NC
Mailing Address - Zip Code:28777-0786
Mailing Address - Country:US
Mailing Address - Phone:828-765-1044
Mailing Address - Fax:828-765-1042
Practice Address - Street 1:12348 SOUTH 226 HIGHWAY
Practice Address - Street 2:
Practice Address - City:SPRUCE PINE
Practice Address - State:NC
Practice Address - Zip Code:28777
Practice Address - Country:US
Practice Address - Phone:828-765-1044
Practice Address - Fax:828-765-1042
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3236363LA2200X
NC900034363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health