Provider Demographics
NPI:1518576024
Name:MAPLES, NOELLE (ASSISTANT DIRECTOR)
Entity Type:Individual
Prefix:
First Name:NOELLE
Middle Name:
Last Name:MAPLES
Suffix:
Gender:F
Credentials:ASSISTANT DIRECTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 S BLACK HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:BLACKWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-2955
Mailing Address - Country:US
Mailing Address - Phone:732-948-1602
Mailing Address - Fax:
Practice Address - Street 1:210 S BLACK HORSE PIKE
Practice Address - Street 2:
Practice Address - City:BLACKWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08012-2955
Practice Address - Country:US
Practice Address - Phone:732-948-1602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist