Provider Demographics
NPI:1518368174
Name:NOEGEL, ERICA CHERIE (ARNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:CHERIE
Last Name:NOEGEL
Suffix:
Gender:F
Credentials:ARNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 SW 16TH AVE
Mailing Address - Street 2:BUILDING A
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1153
Mailing Address - Country:US
Mailing Address - Phone:352-334-0206
Mailing Address - Fax:
Practice Address - Street 1:1701 SW 16TH AVE
Practice Address - Street 2:BUILDING A
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1153
Practice Address - Country:US
Practice Address - Phone:352-334-0206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-12
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9248912363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013379200Medicaid
FLHY342ZMedicare PIN