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General NPI Number Information
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NPI Number | 1114339470
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Entity Type | Individual
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Provider Name | CARRIE LYN NOONAN NP-C
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Gender | Female
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Dates
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Enumeration Date | 05/21/2014
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 11560 OLIVE BLVD MINUTECLINIC
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City | CREVE COEUR
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State | MO
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Zip | 63141-7111
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Country | US
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Telephone | 314-995-7128
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Fax |
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Provider Business Mailing Address
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Address Line | 11560 OLIVE BLVD
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City | CREVE COEUR
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State | MO
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Zip | 63141-7111
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Country | US
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Telephone | 618-520-4512
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10051813
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 142493974405
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 70055290
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 269119
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License Number State | MT
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 246249
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License Number State | AK
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2014004541
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License Number State | MO
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5607
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License Number State | HI
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Taxonomy #8
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2009019269
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License Number State | MO
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 85265
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License Number State | NM
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Taxonomy #10
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 332033
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License Number State | AZ
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Taxonomy #11
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209011328
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License Number State | IL
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