Provider Demographics
NPI:1134783954
Name:NOBLE, HORTENSE (ARNP)
Entity type:Individual
Prefix:
First Name:HORTENSE
Middle Name:
Last Name:NOBLE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7557 W GREENWAY RD STE 101
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-3804
Mailing Address - Country:US
Mailing Address - Phone:623-303-6904
Mailing Address - Fax:877-898-0766
Practice Address - Street 1:7557 W GREENWAY RD STE 101
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-3804
Practice Address - Country:US
Practice Address - Phone:623-303-6904
Practice Address - Fax:877-868-0766
Is Sole Proprietor?:No
Enumeration Date:2019-04-26
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11002100363LA2200X
FLAP141370363LA2200X
AZ239522363LA2200X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health