VICTORIA SERGEYEVNA NOBLE (NPI# 1942230628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942230628 |
Entity Type | Individual |
Full Name | VICTORIA SERGEYEVNA NOBLE |
Other Name | VICTORIA SERGEYEVNA IVCHENKO |
Credential | GNP |
Practice Address |
919 Northland Dr Princeton MN 55371-2172 |
Mailing Address |
17402 Fisher Rd Cold Spring MN 56320-8746 |
Practice Telephone | 7633893344 |
Enumeration Date | 2006-07-05 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R1579718 | MN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760499420 | Victoria J Noble | Internal Medicine | 133 Maple St, Springfield, MA 01105-1896 | 2006-08-02 |
Street Address |
919 NORTHLAND DR |
City | PRINCETON |
State | MN |
Zip Code | 55371-2172 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639143688 | Clifford M Matushin | Internal Medicine | 919 Northland Dr, Princeton, MN 55371-2172 | 2006-02-15 |
1063775260 | Robert K Brownawell | Surgery | 919 Northland Dr, Princeton, MN 55371-2172 | 2012-06-21 |
1003193509 | Nhat-anh Nguyen Ngo | Surgery | 919 Northland Dr, Princeton, MN 55371-2172 | 2011-11-11 |
1366671869 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 919 Northland Dr, Princeton, MN 55371-2172 | 2009-07-07 |
1821242017 | Fairview Clinics | Clinic/Center | 919 Northland Dr, Princeton, MN 55371-2172 | 2008-11-14 |
1932367760 | Teresa Jean Duscher | Nurse Practitioner | 919 Northland Dr, Princeton, MN 55371-2172 | 2008-05-29 |
1730364191 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 919 Northland Dr, Princeton, MN 55371-2172 | 2008-01-04 |
1831388974 | Lisa M. Cinar | Pediatrics | 919 Northland Dr, Princeton, MN 55371-2172 | 2007-10-15 |
1043413214 | Jeremy John Peterson | Family Medicine | 919 Northland Dr, Princeton, MN 55371-2172 | 2007-06-06 |
1427149442 | Edina Eye Physicians and Surgeons Pa | Optometrist | 919 Northland Dr, Princeton, MN 55371-2172 | 2006-09-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
Find all providers in zip 55371 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720032683 | Cynthia D Loehlein | Nurse Practitioner | 919 Northland Dr, Princeton, MN 55371-2172 | 2006-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619587193 | Sadiya Abdirahman Esse | Nurse Practitioner | 1690 Silver Lake Rd Nw, New Brighton, MN 55112-1788 | 2020-08-09 |
1881226512 | Abby Marie Zenner | Nurse Practitioner | 1771 Countryside Dr, Shakopee, MN 55379-4451 | 2020-02-11 |
1174019038 | Adedayo Temitope Dosumu | Nurse Practitioner | 816 50th Ave Nw, Rochester, MN 55901-6554 | 2018-07-03 |
1407223159 | Carla Sue Christenson | Nurse Practitioner | 3400 W. 66th St, Edina, MN 55435 | 2015-08-28 |
1538573449 | Rebecca Anne Lenz | Nurse Practitioner | 1172 Randolph Ave Apt 8, Saint Paul, MN 55105-2987 | 2014-06-18 |
1083027536 | Mueni C Mualuko | Nurse Practitioner | 2220 Riverside Ave # Ms 26602g, Geriatrics Department Ms 26602g/ 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2014-06-03 |
1659623999 | Joy Laansma | Nurse Practitioner | 3366 Oakdale Avenue North, Suite 551, Robbinsdale, MN 55422-2948 | 2012-10-10 |
1720337694 | Zhonghua Xie | Nurse Practitioner | 1202 5th Grant Blvd W, Wabasha, MN 55981-1115 | 2012-09-06 |
1487937892 | Jonathan Deforest Olson | Nurse Practitioner | 30 W 22nd St, #204, Minneapolis, MN 55404-2428 | 2011-09-21 |
1548577224 | Lorene Ann Gray | Nurse Practitioner | 6465 W Shadow Lake Dr, Lino Lakes, MN 55014-1982 | 2010-09-02 |
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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.