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NPI Code Detail

MEDICARE: PATRICE ODETTE NOEL PMHNP

MEDICARE: PATRICE ODETTE NOEL PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN2278002MA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner1064431TX

General Provider Information

NPI Number : 1073944781
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICE ODETTE NOEL PMHNP
Provider Business Mailing Address
First Line : 11 NEVINS ST STE 303
Second Line :
City : BRIGHTON
State : MA
Zip : 02135-3514
Country : US
Telephone Number : 617-562-7333
Fax Number :
Provider Business Practice Location Address
First Line : 8588 KATY FWY STE 350
Second Line :
City : HOUSTON
State : TX
Zip : 77024-1853
Country : US
Telephone Number : 844-824-8775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2013
Last Update Date : 08/06/2025

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