Provider Demographics
NPI:1912323494
Name:NOREUIL, OSCAR III (RN, BSN, CCRN-E)
Entity Type:Individual
Prefix:MR
First Name:OSCAR
Middle Name:
Last Name:NOREUIL
Suffix:III
Gender:M
Credentials:RN, BSN, CCRN-E
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1768 SCHUETZ RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-4976
Mailing Address - Country:US
Mailing Address - Phone:314-625-8898
Mailing Address - Fax:
Practice Address - Street 1:915 N GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63106-1621
Practice Address - Country:US
Practice Address - Phone:314-652-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-09
Last Update Date:2014-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001032271163W00000X
CA810874163W00000X
FLRN9361246163W00000X
GARN206492163W00000X
IL041264614163W00000X
IN28185526A163W00000X
NJ26NR16371700163W00000X
PARN625914163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse