Provider Demographics
NPI:1326811209
Name:ANDERSON, NOELLE CHRISTINA (CRNP)
Entity Type:Individual
Prefix:
First Name:NOELLE
Middle Name:CHRISTINA
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5230 POST HOUSE LN
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-3338
Mailing Address - Country:US
Mailing Address - Phone:205-470-4456
Mailing Address - Fax:
Practice Address - Street 1:2010 PATTON CHAPEL RD STE 200
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216-5784
Practice Address - Country:US
Practice Address - Phone:205-208-9001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-121682363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily