ERIC MICHAEL NOLL (NPI# 1912432691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912432691 |
| Entity Type | Individual |
| Full Name | ERIC MICHAEL NOLL |
| Credential | ACNP |
| Practice Address |
340 E Palm Ln Ste A175 Phoenix AZ 85004-4603 |
| Practice Telephone | 6023861100 |
| Practice Fax Number | 6023861150 |
| Mailing Telephone | 6023861100 |
| Mailing Fax Number | 6023861150 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2019-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
RN164810 | AZ | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP10421 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864904 | Eric Noll | Optometrist | 2630 Central Ave # 3349, Eielson Afb, AK 99702 | 2013-03-04 |
| 1669663076 | Eric P Noll | Physical Medicine & Rehabilitation | 12905 W Dodge Rd, Omaha, NE 68154-2145 | 2007-08-09 |
| 1497280200 | Eric Sutton Noll | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Mail Stop 1034, Kansas City, KS 66160-7415 | 2017-04-30 |
| Street Address |
340 E PALM LN STE A175 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992752158 | Narayn Pillai | Internal Medicine | 340 E Palm Ln Ste A175, Phoenix, AZ 85004-4603 | 2006-05-30 |
| 1548886500 | Honorhealth Ambulatory | Internal Medicine | 340 E Palm Ln Ste A175, Phoenix, AZ 85004-4603 | 2020-06-24 |
| 1194356287 | Tiffany Marie Staab | Nurse Practitioner | 340 E Palm Ln Ste A175, Phoenix, AZ 85004-4603 | 2020-01-28 |
| 1881855294 | Tomas Rivera-bonilla | Internal Medicine | 340 E Palm Ln Ste A175, Phoenix, AZ 85004-4603 | 2008-06-18 |
| 1659532000 | Haidar Yassin | Internal Medicine | 340 E Palm Ln Ste A175, Phoenix, AZ 85004-4603 | 2008-06-18 |
| 1508067588 | Tabitha Grace Moe | Internal Medicine | 340 E Palm Ln Ste A175, Phoenix, AZ 85004-4603 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890969 | Kristen Cox | Nurse Practitioner | 35714 N 34th Ln, Phoenix, AZ 85086-2264 | 2020-10-28 |
| 1760097570 | Justin Thomas Partlow | Nurse Practitioner | 3124 E Bloomfield Rd, Phoenix, AZ 85032-7109 | 2020-09-09 |
| 1295352334 | Adrian Emil Stamp | Nurse Practitioner | 12641 N 19th St, Phoenix, AZ 85022-5735 | 2020-07-04 |
| 1093332082 | Marissa Katherine Chase | Nurse Practitioner | 340 E Palm Ln # A175, Phoenix, AZ 85004-4603 | 2020-06-25 |
| 1033739081 | Anthony Populo | Nurse Practitioner | 1700 W Whitton Ave, Phoenix, AZ 85015-5533 | 2020-04-20 |
| 1710446786 | Rosa Maria Ruiz | Nurse Practitioner | 10317 W Campbell Ave, Phoenix, AZ 85037-5530 | 2019-03-18 |
| 1205394947 | Maryann Smith | Nurse Practitioner | 2327 W Dewdrop Trl, Phoenix, AZ 85085-0719 | 2019-03-12 |
| 1952868309 | Emily B Cova | Nurse Practitioner | 1331 N 7th St Ste 405, Phoenix, AZ 85006-2754 | 2019-02-21 |
| 1376027144 | Ejiro Ojameruaye | Nurse Practitioner | 19636 N 27th Ave Ste 202, Phoenix, AZ 85027-4018 | 2018-09-18 |
| 1538646161 | Joshua Alexander Luke Hindman | Nurse Practitioner | 1833 W Mission Ln, Phoenix, AZ 85021-2947 | 2018-07-26 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.