Provider Demographics
NPI:1801807490
Name:NOLL, MARIA GENE (DPM)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:GENE
Last Name:NOLL
Suffix:
Gender:F
Credentials:DPM
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Mailing Address - Street 1:10621 AIRPORT PULLING RD N
Mailing Address - Street 2:STE 4
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-7333
Mailing Address - Country:US
Mailing Address - Phone:239-592-0700
Mailing Address - Fax:239-592-0700
Practice Address - Street 1:10621 AIRPORT PULLING RD N
Practice Address - Street 2:SUITE 4
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-7333
Practice Address - Country:US
Practice Address - Phone:239-592-0700
Practice Address - Fax:239-592-0700
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-11-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPO2067213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL65217Medicare PIN
FLU25436Medicare UPIN
FL0979970001Medicare NSC