Provider Demographics
NPI:1265942155
Name:NOEL, SHANA AKILA (APRN, AGNP-BC)
Entity type:Individual
Prefix:
First Name:SHANA
Middle Name:AKILA
Last Name:NOEL
Suffix:
Gender:F
Credentials:APRN, AGNP-BC
Other - Prefix:
Other - First Name:SHANA
Other - Middle Name:AKILA
Other - Last Name:FRANCOIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 211699
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-3699
Mailing Address - Country:US
Mailing Address - Phone:866-849-0692
Mailing Address - Fax:888-973-8821
Practice Address - Street 1:880 SW 145TH AVE STE 202
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-6171
Practice Address - Country:US
Practice Address - Phone:866-849-0692
Practice Address - Fax:888-973-8821
Is Sole Proprietor?:No
Enumeration Date:2017-10-04
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209027461363L00000X
AL3-002088363L00000X
OH0033933363L00000X
TX1111759363L00000X
SC29837363L00000X
WAAP61649040363L00000X
MO2025001439363L00000X
HIAPRN-4982363L00000X
IN71016201A363L00000X
GAGAA-NP003073363L00000X
NC5021350363L00000X
TN37974363L00000X
KY4034124363L00000X
OR10036541363L00000X
FL9315383363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner