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NPI Code Detail

MEDICARE: NOELLE MARIE MAUDE NP

MEDICARE:   NOELLE MARIE MAUDE  NP
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 Practitioner4704220787MI

General Provider Information

NPI Number : 1275062184
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOELLE MARIE MAUDE NP
Provider Business Mailing Address
First Line : 1701 SOUTH BLVD E STE 300
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-6120
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1701 SOUTH BLVD E STE 300
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-6120
Country : US
Telephone Number : 248-844-9711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2017
Last Update Date : 06/06/2017

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Directions to “ NOELLE MARIE MAUDE NP” Practice Location

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