Provider Demographics
NPI:1710791504
Name:NOBLE HEALTH AND WELLNESS, LLC
Entity type:Organization
Organization Name:NOBLE HEALTH AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NOBLE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:330-550-2559
Mailing Address - Street 1:636 CEDAR ROAD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-8314
Mailing Address - Country:US
Mailing Address - Phone:330-550-2559
Mailing Address - Fax:757-908-3331
Practice Address - Street 1:636 CEDAR ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-8314
Practice Address - Country:US
Practice Address - Phone:330-550-2559
Practice Address - Fax:757-908-3331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty