Provider Demographics
NPI:1790024453
Name:NOLD, JOAN M (FNP)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:M
Last Name:NOLD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:M
Other - Last Name:SNAPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2303 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-4954
Mailing Address - Country:US
Mailing Address - Phone:816-232-6818
Mailing Address - Fax:816-232-2991
Practice Address - Street 1:1515 SAINT JOSEPH AVE
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64505-2631
Practice Address - Country:US
Practice Address - Phone:816-233-3338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-31
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013002934363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily