Provider Demographics
NPI:1245087006
Name:ALCAYDE, NOAH EDWARD (RN)
Entity type:Individual
Prefix:
First Name:NOAH
Middle Name:EDWARD
Last Name:ALCAYDE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30206 BROOKSIDE LN
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-6656
Mailing Address - Country:US
Mailing Address - Phone:510-876-1154
Mailing Address - Fax:
Practice Address - Street 1:30206 BROOKSIDE LN
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-6656
Practice Address - Country:US
Practice Address - Phone:510-876-1154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95375379163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse