Healthcare Provider Details

I. General information

NPI: 1104744259
Provider Name (Legal Business Name): SARA NOYES
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 SHADY OAK CT
NEW BERN NC
28562-9061
US

IV. Provider business mailing address

104 SHADY OAK CT
NEW BERN NC
28562-9061
US

V. Phone/Fax

Practice location:
  • Phone: 732-829-3454
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA-3084063
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: