Provider Demographics
NPI:1003779364
Name:JOSEPH, NOREEN RUBY (APRN)
Entity type:Individual
Prefix:
First Name:NOREEN
Middle Name:RUBY
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 CRAWFORD ST APT 2104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77010-4079
Mailing Address - Country:US
Mailing Address - Phone:786-237-8839
Mailing Address - Fax:
Practice Address - Street 1:808 CRAWFORD ST APT 2104
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77010-4079
Practice Address - Country:US
Practice Address - Phone:786-237-8839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-04
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11044049363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health