Provider Demographics
NPI:1831963602
Name:NOYES, ANNA MARIE
Entity type:Individual
Prefix:MS
First Name:ANNA MARIE
Middle Name:
Last Name:NOYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 CHRISTINA LN
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06498-2833
Mailing Address - Country:US
Mailing Address - Phone:203-668-5357
Mailing Address - Fax:
Practice Address - Street 1:6 SHAWS CV
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-4969
Practice Address - Country:US
Practice Address - Phone:203-530-7992
Practice Address - Fax:203-508-7551
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-13
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0000000102531926363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology