Healthcare Provider Details

I. General information

NPI: 1689593311
Provider Name (Legal Business Name): RITA KRISTINE NOEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1146 BROOKFIELD RD
HUBBARD OH
44425
US

IV. Provider business mailing address

1436 BROOKFIELD RD
HUBBARD OH
44425-3061
US

V. Phone/Fax

Practice location:
  • Phone: 330-919-1142
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number40155370713
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: