Provider Demographics
NPI:1558584854
Name:NOE, ANGIE BAUMANN
Entity Type:Individual
Prefix:MRS
First Name:ANGIE
Middle Name:BAUMANN
Last Name:NOE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26229 TERRY COVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE BEACH
Mailing Address - State:AL
Mailing Address - Zip Code:36561
Mailing Address - Country:US
Mailing Address - Phone:251-981-1820
Mailing Address - Fax:251-981-9996
Practice Address - Street 1:25405 PERDIDO BEACH BLVD
Practice Address - Street 2:
Practice Address - City:ORANGE BEACH
Practice Address - State:AL
Practice Address - Zip Code:36561-3193
Practice Address - Country:US
Practice Address - Phone:251-981-1796
Practice Address - Fax:251-981-1797
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11901183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist