Provider Demographics
NPI:1861982928
Name:NOBLE, ELIZABETH (CPM, LM)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:NOBLE
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 STOCKADE RANCH RD
Mailing Address - Street 2:
Mailing Address - City:PAIGE
Mailing Address - State:TX
Mailing Address - Zip Code:78659-4446
Mailing Address - Country:US
Mailing Address - Phone:512-710-9662
Mailing Address - Fax:
Practice Address - Street 1:1036 STOCKADE RANCH RD
Practice Address - Street 2:
Practice Address - City:PAIGE
Practice Address - State:TX
Practice Address - Zip Code:78659-4446
Practice Address - Country:US
Practice Address - Phone:512-710-9662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
TX99330176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No374J00000XNursing Service Related ProvidersDoula