Provider Demographics
NPI:1790716314
Name:NOEL, BILLY H (APN)
Entity Type:Individual
Prefix:MR
First Name:BILLY
Middle Name:H
Last Name:NOEL
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9207 HIGHWAY 71 S STE 9
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72916-9389
Mailing Address - Country:US
Mailing Address - Phone:479-668-4778
Mailing Address - Fax:479-675-1391
Practice Address - Street 1:9207HWY 71
Practice Address - Street 2:SUITE 8&9
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72916-4683
Practice Address - Country:US
Practice Address - Phone:479-668-4778
Practice Address - Fax:479-675-1391
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01824163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARQ32650Medicare UPIN