Healthcare Provider Details

I. General information

NPI: 1457248981
Provider Name (Legal Business Name): NOELLE TAULBEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 WAREHOUSE STREET (BLDG 802)
ANCHORAGE AK
99505
US

IV. Provider business mailing address

802 WAREHOUSE STREET
ANCHORAGE AK
99505
US

V. Phone/Fax

Practice location:
  • Phone: 907-384-2730
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPTL0020560
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: