Luise Quitugua Noisom, RN BSN NP
Individual provider Active NPI Women's Health Nurse Practitioner · San Antonio Saipan, MP
NPI 1457540312 · NPPES record last updated Oct 17, 2007
Key facts
- NPI
- 1457540312
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 0053 (MP)
- Practice address
- Tun Tomas Rd
San Antonio Wellness Clinic
San Antonio Saipan, MP 96950 - Phone
- (670) 236-8600
- Fax
- (670) 234-8930
- NPI assigned
- Oct 17, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0053 | MP | MD | Women's Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 0053 | MP | Yes |
Addresses
Primary practice location
Tun Tomas Rd
San Antonio Wellness Clinic
San Antonio Saipan, MP 96950
Mailing address
PO Box 500409CK
Common Wealth Health Center
Garapan Saipan, MP 96950
Phone (670) 236-8600
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.