Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 20913 | CA |
NPI | 1023398211 |
---|---|
Provider Name | Mrs. Erin Irving Noyes |
First Address | Fresno, CA 93720-8022 |
Second Address | Fresno, CA 93720-2184 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2011 |
Last Update Date | 24/04/2013 |