Provider Demographics
NPI:1376243626
Name:NOULA HEALTH CO
Entity Type:Organization
Organization Name:NOULA HEALTH CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER & CEO
Authorized Official - Prefix:
Authorized Official - First Name:NOELLE
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-622-8637
Mailing Address - Street 1:169 MADISON AVE # 2160
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5101
Mailing Address - Country:US
Mailing Address - Phone:501-779-8883
Mailing Address - Fax:
Practice Address - Street 1:169 MADISON AVE # 2160
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5101
Practice Address - Country:US
Practice Address - Phone:501-779-8883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty