MEDICARE: NOELLE C BRALEY FNPC

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	363LF0000X	Family Nurse Practitioner	5015517	NC

General Provider Information

NPI Number	:	1154972461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOELLE C BRALEY FNPC

Provider Business Mailing Address
First Line	:	7 PROFESSIONAL DR
Second Line	:
City	:	SNOW HILL
State	:	NC
Zip	:	28580-1332
Country	:	US
Telephone Number	:	252-747-8162
Fax Number	:	252-747-8163

Provider Business Practice Location Address
First Line	:	600 W ARLINGTON BLVD FL 1
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-5724
Country	:	US
Telephone Number	:	252-747-8162
Fax Number	:	252-747-8163

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

Provider Enumeration Date	:	09/27/2019
Last Update Date	:	01/20/2026

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