Provider Demographics
NPI:1609996263
Name:NOBLE, SARAH RUTH (NP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:RUTH
Last Name:NOBLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:112 LA CASA VIA STE 200
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3011
Mailing Address - Country:US
Mailing Address - Phone:925-933-4747
Mailing Address - Fax:925-933-1638
Practice Address - Street 1:112 LA CASA VIA STE 200
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3011
Practice Address - Country:US
Practice Address - Phone:925-933-4747
Practice Address - Fax:925-933-1638
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9072363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health