Provider Demographics
NPI:1558026443
Name:NOBLE MISSIONS LLC
Entity Type:Organization
Organization Name:NOBLE MISSIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEGE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP FNP RN
Authorized Official - Phone:770-757-0161
Mailing Address - Street 1:13518 114TH AVE E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-5536
Mailing Address - Country:US
Mailing Address - Phone:770-757-0161
Mailing Address - Fax:253-466-3537
Practice Address - Street 1:13518 114TH AVE E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-5536
Practice Address - Country:US
Practice Address - Phone:770-757-0161
Practice Address - Fax:253-466-3537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty