Provider Demographics
NPI:1659349199
Name:NOON, DEBORAH L (CRNA)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:NOON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 WILKINS RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-1839
Mailing Address - Country:US
Mailing Address - Phone:770-707-1456
Mailing Address - Fax:770-237-1124
Practice Address - Street 1:755 WILKINS RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-1839
Practice Address - Country:US
Practice Address - Phone:770-707-1456
Practice Address - Fax:770-237-1124
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN057610367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA43BBBWFMedicare ID - Type Unspecified
GAS10972Medicare UPIN