Provider Demographics
NPI:1407811144
Name:NOBLES, MINDY KREHLING (CPHT)
Entity Type:Individual
Prefix:MRS
First Name:MINDY
Middle Name:KREHLING
Last Name:NOBLES
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28691 KREHLING LN
Mailing Address - Street 2:
Mailing Address - City:ELBERTA
Mailing Address - State:AL
Mailing Address - Zip Code:36530-4314
Mailing Address - Country:US
Mailing Address - Phone:251-987-5075
Mailing Address - Fax:
Practice Address - Street 1:12831 6TH ST
Practice Address - Street 2:
Practice Address - City:LILLIAN
Practice Address - State:AL
Practice Address - Zip Code:36549-4166
Practice Address - Country:US
Practice Address - Phone:251-962-3777
Practice Address - Fax:251-962-3779
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALT04287183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL2501-0010-3031-367OtherTECHNICIAN CERT. NUMBER