Healthcare Provider Details

I. General information

NPI: 1295477370
Provider Name (Legal Business Name): MARIA NOEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2022
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 KEMPSVILLE RD
NORFOLK VA
23502-3920
US

IV. Provider business mailing address

PO BOX 844733
BOSTON MA
02284-4733
US

V. Phone/Fax

Practice location:
  • Phone: 757-261-6000
  • Fax:
Mailing address:
  • Phone: 866-262-7905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101285160
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: