Provider Demographics
NPI:1013653047
Name:BUONINCONTRI, NOELLE ELIZABETH (FNP)
Entity type:Individual
Prefix:
First Name:NOELLE
Middle Name:ELIZABETH
Last Name:BUONINCONTRI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1683 N. HANCOCK RD,
Mailing Address - Street 2:SUITE 103, PMB# 115
Mailing Address - City:MINNEOLA
Mailing Address - State:FL
Mailing Address - Zip Code:34715
Mailing Address - Country:US
Mailing Address - Phone:347-992-7475
Mailing Address - Fax:
Practice Address - Street 1:1050 OLD CAMP RD STE 270
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-1762
Practice Address - Country:US
Practice Address - Phone:352-633-1966
Practice Address - Fax:352-633-1969
Is Sole Proprietor?:No
Enumeration Date:2022-05-11
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY348591363LF0000X
FLARPN11019214363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily