Active NPIIndividual providerSole proprietor

Mrs. Alicia M Noonan, NP-C

Nurse Practitioner, Adult Health in Groton, Connecticut

NPI Number1245551639
Practice location
75 Eastern Point RD, Dept 644 Bldg 78A, Groton, CT 06340-4905
Fax
860-433-7802
Last updated
April 16, 2019

Alicia M Noonan is a Nurse Practitioner, Adult Health based in Groton, CT. Alicia M Noonan practices in Groton, CT and has the professional credentials of NP-C. The NPI Number for Alicia M Noonan is 1245551639 and holds a License No. 076404 (CT). The current practice location address for Alicia M Noonan is 75 Eastern Point RD, Dept 644 Bldg 78A, Groton, CT 06340-4905 and can be reached out via phone at 860-433-9390 and via fax at 860-433-7802.

Provider Profile Details

NPI Number
1245551639
Provider Name
Alicia M Noonan
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
75 Eastern Point RD, Dept 644 Bldg 78A, Groton, CT 06340-4905
Phone Number
860-433-9390
Fax Number
860-433-7802
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
Yes
Provider Enumeration Date
June 20, 2010
Last Update Date
April 16, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Eastern Point RD
Dept 644 Bldg 78A
Groton, CT 06340-4905
City
Groton
Zip
06340-4905
Phone Number
860-433-9390
Fax Number
860-433-7802
Groton, CT 06340Get directions →

Provider Business Mailing Address Details

Address
32 Peachvale Dr
Uncasville, CT 06382-2234
City
Uncasville
State
CT
Zip
06382-2234
Phone Number
860-822-5585

License Information

License Number (1)
076404
License State (1)
CT
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
4387
License State (2)
CT
Taxonomy (2)
Nurse Practitioner · 363L00000X
License Number (3)
4387
License State (3)
CT
Taxonomy (3)
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Alicia M Noonan, NP-C?

The NPI number of Mrs. Alicia M Noonan, NP-C is 1245551639. It was assigned on June 20, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Alicia M Noonan, NP-C?

Mrs. Alicia M Noonan, NP-C is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in CT under license number 076404.

Where does Mrs. Alicia M Noonan, NP-C practice?

The practice location is 75 Eastern Point RD, Dept 644 Bldg 78A, Groton, CT 06340-4905. The office can be reached at 860-433-9390 (phone) or 860-433-7802 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245551639 directly on the NPPES registry website.

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