MEDICARE: CARRIE LYN NOONAN NP-C

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
1	363LF0000X	Family Nurse Practitioner	10051813	OR
2	363LF0000X	Family Nurse Practitioner	142493974405	UT
3	363LF0000X	Family Nurse Practitioner	70055290	WA
4	363LF0000X	Family Nurse Practitioner	269119	MT
5	363LF0000X	Family Nurse Practitioner	246249	AK
6	363LF0000X	Family Nurse Practitioner	2014004541	MO
7	363LF0000X	Family Nurse Practitioner	5607	HI
8	163W00000X	Registered Nurse	2009019269	MO
9	363LF0000X	Family Nurse Practitioner	85265	NM
10	363LF0000X	Family Nurse Practitioner	332033	AZ
11	363LF0000X	Family Nurse Practitioner	209011328	IL

General Provider Information

NPI Number	:	1114339470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE LYN NOONAN NP-C

Provider Business Mailing Address
First Line	:	11560 OLIVE BLVD
Second Line	:
City	:	CREVE COEUR
State	:	MO
Zip	:	63141-7111
Country	:	US
Telephone Number	:	618-520-4512
Fax Number	:

Provider Business Practice Location Address
First Line	:	11560 OLIVE BLVD
Second Line	:	MINUTECLINIC
City	:	CREVE COEUR
State	:	MO
Zip	:	63141-7111
Country	:	US
Telephone Number	:	314-995-7128
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2014
Last Update Date	:	12/03/2025

Similar Medicare Providers

1801146766 — CREVE COEUR FAMILY MEDICINE, LLC
Practice Location Address:

11550 OLIVE BLVD STE 120
CREVE COEUR, MO
63141-7111

Practice Phone: 314-523-2590
Practice Fax: 314-590-5943

1790739241 — DR. ROSEMARY LOUISE CANNISTRARO M.D. PHD
Practice Location Address:

11550 OLIVE BLVD , STE 140
CREVE COEUR, MO
63141-7111

Practice Phone: 314-205-8344
Practice Fax: 314-590-5931

1508802976 — DIVYA CHAUHAN M.D.
Practice Location Address:

11550 OLIVE BLVD , STE 120
CREVE COEUR, MO
63141-7111

Practice Phone: 314-523-2590
Practice Fax: 314-590-5943

1619167483 — RUPINDERJIT SINGH DHILLON MD
Practice Location Address:

11550 OLIVE BLVD , STE 140
CREVE COEUR, MO
63141-7111

Practice Phone: 314-205-8344
Practice Fax: 314-590-5931

1154760163 — DR. ALLISON CLAIRE FLAMMANG D.O.
Practice Location Address:

11550 OLIVE BLVD STE 120
CREVE COEUR, MO
63141-7111

Practice Phone: 314-525-2590
Practice Fax: 314-590-5943

1124447677 — KIMBERLY MILLER FNP
Practice Location Address:

11560 OLIVE BLVD
CREVE COEUR, MO
63141-7111

Practice Phone: 314-995-7128
Practice Fax:

Directions to “ CARRIE LYN NOONAN NP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.