Antinique Monique Noble
Community Health Worker in Winston Salem, NC. Individual provider (NPI-1).
NPI number1487429635
StatusActive
Last updated in NPPESNov 17, 2023
Details
- NPI
- 1487429635
- Entity type
- Individual (NPI-1)
- Name
- Antinique Monique Noble
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2023
- Certification date
- Nov 17, 2023
- Last updated
- Nov 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 172A00000X | Driver | – | – | |
| 372600000X | Adult Companion | – | – | |
| 3747A0650X | Technician, Attendant Care Provider | – | – |
Practice location
3792 Barkwood DrWinston Salem, NC 27105-3921
Phone 609-377-3307
Mailing address
3792 Barkwood DrWinston Salem, NC 27105-3921
Phone 609-377-3307
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