Provider Demographics
NPI:1770830168
Name:NOEL, EVROSE PHILIAS (CRNA, MSN, MPH)
Entity Type:Individual
Prefix:
First Name:EVROSE
Middle Name:PHILIAS
Last Name:NOEL
Suffix:
Gender:F
Credentials:CRNA, MSN, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:10291 SOUTHWEST 18TH STREET
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-1739
Mailing Address - Country:US
Mailing Address - Phone:305-333-2739
Mailing Address - Fax:
Practice Address - Street 1:3661 S MIAMI AVE
Practice Address - Street 2:SUITE 504
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4236
Practice Address - Country:US
Practice Address - Phone:305-854-0302
Practice Address - Fax:305-854-0308
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-06
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9231268367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered