Healthcare Provider Details

I. General information

NPI: 1881308567
Provider Name (Legal Business Name): ALLISON NOEL FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON ONOPA

II. Dates (important events)

Enumeration Date: 01/09/2023
Last Update Date: 01/13/2024
Certification Date: 01/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 E KEARSLEY ST
FLINT MI
48502-1907
US

IV. Provider business mailing address

7584 LILAC CT
WEST BLOOMFIELD MI
48324-2538
US

V. Phone/Fax

Practice location:
  • Phone: 810-762-3300
  • Fax:
Mailing address:
  • Phone: 248-303-1243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number4704352176
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704352176
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: