Provider Demographics
NPI:1548349327
Name:NOBLE, CINDY KAY
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:KAY
Last Name:NOBLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PAUL
Other - Middle Name:F
Other - Last Name:NOBLE
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1948
Mailing Address - Street 2:
Mailing Address - City:DEWEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86327-1948
Mailing Address - Country:US
Mailing Address - Phone:928-632-1172
Mailing Address - Fax:
Practice Address - Street 1:830 S DEWEY RD
Practice Address - Street 2:
Practice Address - City:DEWEY
Practice Address - State:AZ
Practice Address - Zip Code:86327
Practice Address - Country:US
Practice Address - Phone:928-632-1172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist