Provider Demographics
NPI:1174034250
Name:ARMSTRONG, NOELLE C (PA)
Entity Type:Individual
Prefix:
First Name:NOELLE
Middle Name:C
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1100 REID PKWY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-1157
Mailing Address - Country:US
Mailing Address - Phone:765-935-1905
Mailing Address - Fax:765-935-1910
Practice Address - Street 1:1501 CHESTER BLVD.
Practice Address - Street 2:REID URGENT CARE
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-1914
Practice Address - Country:US
Practice Address - Phone:765-935-1905
Practice Address - Fax:765-935-1910
Is Sole Proprietor?:No
Enumeration Date:2017-10-17
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.005275RX363A00000X
IN10002341A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant