Provider Demographics
NPI:1689457228
Name:NOON, AMEERA N
Entity Type:Individual
Prefix:
First Name:AMEERA
Middle Name:N
Last Name:NOON
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 1:18516 DIEGO PL
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-2010
Mailing Address - Country:US
Mailing Address - Phone:405-245-1782
Mailing Address - Fax:
Practice Address - Street 1:18516 DIEGO PL
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-2010
Practice Address - Country:US
Practice Address - Phone:405-245-1782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program