Provider Demographics
NPI:1598356313
Name:NOEL, MONTOYA SHONTA (PHLEBOTOMIST)
Entity Type:Individual
Prefix:MS
First Name:MONTOYA
Middle Name:SHONTA
Last Name:NOEL
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 CALDWELL DR APT A3
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45216-1526
Mailing Address - Country:US
Mailing Address - Phone:513-512-2272
Mailing Address - Fax:
Practice Address - Street 1:177 CALDWELL DR APT A3
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45216-1526
Practice Address - Country:US
Practice Address - Phone:513-512-2272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL4Y4E7T5246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy