Provider Demographics
NPI:1710930813
Name:NOEL, CECILE (PAC)
Entity Type:Individual
Prefix:MRS
First Name:CECILE
Middle Name:
Last Name:NOEL
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HEALTH PARK DR
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-4679
Mailing Address - Country:US
Mailing Address - Phone:919-733-1223
Mailing Address - Fax:919-773-1955
Practice Address - Street 1:200 HEALTH PARK DR
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-4679
Practice Address - Country:US
Practice Address - Phone:919-733-1223
Practice Address - Fax:919-773-1955
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2011-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101828363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant