Provider Demographics
NPI:1457540312
Name:NOISOM, LUISE QUITUGUA (RN BSN NP)
Entity Type:Individual
Prefix:MRS
First Name:LUISE
Middle Name:QUITUGUA
Last Name:NOISOM
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Gender:F
Credentials:RN BSN NP
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Mailing Address - Street 1:PO BOX 500409CK
Mailing Address - Street 2:COMMON WEALTH HEALTH CENTER
Mailing Address - City:GARAPAN SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950
Mailing Address - Country:US
Mailing Address - Phone:670-236-8600
Mailing Address - Fax:670-234-8930
Practice Address - Street 1:TUN TOMAS RD
Practice Address - Street 2:SAN ANTONIO WELLNESS CLINIC
Practice Address - City:SAN ANTONIO SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:670-236-8600
Practice Address - Fax:670-234-8930
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
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Provider Licenses
StateLicense IDTaxonomies
MP0053363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health