Basic Information
| Provider Information | |||||||||
| NPI: | 1093270993 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NOBLE | ||||||||
| FirstName: | RACHEL | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | HAD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7574 N LA CHOLLA BLVD | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857412307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5207422845 | ||||||||
| FaxNumber: | 5207423881 | ||||||||
| Practice Location | |||||||||
| Address1: | 7574 N LA CHOLLA BLVD | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857412307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5207422845 | ||||||||
| FaxNumber: | 5207423881 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/05/2019 | ||||||||
| LastUpdateDate: | 02/05/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | HADE5424 | AZ | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
ID Information
| ID | Type | State | Issuer | Description | HADE5424 | 01 | AZ | AZ DEPARTMENT OF HEALTH SERVICES | OTHER |