MEDICARE: CHRISTOPHER CAREY NOORDA

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	367500000X	Certified Registered Nurse Anesthetist	1066680	TX
2	163W00000X	Registered Nurse	RN714175	PA

General Provider Information

NPI Number	:	1487299152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER CAREY NOORDA

Provider Business Mailing Address
First Line	:	PO BOX 840853
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4825
Country	:	US
Telephone Number	:	972-233-1999
Fax Number	:	972-233-3666

Provider Business Practice Location Address
First Line	:	607 GOLDEN RIDGE CT
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-4825
Country	:	US
Telephone Number	:	480-685-6690
Fax Number	:

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

Provider Enumeration Date	:	11/16/2019
Last Update Date	:	12/11/2025

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