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NPI Code Detail

MEDICARE: CHANTAL CIERRA NOBLE

MEDICARE: CHANTAL CIERRA NOBLE
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
1251S00000XCommunity/Behavioral Health AgencyCDCA.172668OH
2171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710508890
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANTAL CIERRA NOBLE
Provider Business Mailing Address
First Line : 16603 HARVARD AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-2203
Country : US
Telephone Number : 216-999-7444
Fax Number :
Provider Business Practice Location Address
First Line : 16603 HARVARD AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-2203
Country : US
Telephone Number : 216-999-7444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2020
Last Update Date : 06/04/2025

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Directions to “ CHANTAL CIERRA NOBLE ” Practice Location

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