Provider Demographics
NPI:1851852800
Name:SAFFLE, COURTNEY NOEL (NP)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:NOEL
Last Name:SAFFLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4923 ELMHURST RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-3040
Mailing Address - Country:US
Mailing Address - Phone:419-690-9062
Mailing Address - Fax:
Practice Address - Street 1:4923 ELMHURST RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-3040
Practice Address - Country:US
Practice Address - Phone:419-690-9062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-30
Last Update Date:2020-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH024483363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily