MEDICARE: REBECCA STUART NOE FNP, BSN

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	163W00000X	Registered Nurse	413819	CA

General Provider Information

NPI Number	:	1346303419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA STUART NOE FNP, BSN

Provider Business Mailing Address
First Line	:	456 ROCK SPRINGS RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-5102
Country	:	US
Telephone Number	:	404-357-4392
Fax Number	:

Provider Business Practice Location Address
First Line	:	456 ROCK SPRINGS RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-5102
Country	:	US
Telephone Number	:	404-357-4392
Fax Number	:

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

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	07/08/2007

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