MEDICARE: MS. MONICA IRENE NOCE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	PA-2362	ID
2	363A00000X	Physician Assistant	PA-2362	ID

General Provider Information

NPI Number	:	1043570021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MONICA IRENE NOCE PA-C

Provider Business Mailing Address
First Line	:	PO BOX 1479
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83877-1479
Country	:	US
Telephone Number	:	208-618-6070
Fax Number	:	208-618-8903

Provider Business Practice Location Address
First Line	:	1610 E SCHNEIDMILLER AVE
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83854-7065
Country	:	US
Telephone Number	:	208-618-6070
Fax Number	:	208-618-7065

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2012
Last Update Date	:	12/14/2024

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