Noel Ahedo, RN
Individual provider Active NPI Registered Nurse · Exeter, CA
NPI 1487238010 · NPPES record last updated May 10, 2021
Key facts
- NPI
- 1487238010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 708314 (CA)
- Practice address
- 1230 N Anderson Rd
Exeter, CA 93221-9674 - Phone
- (559) 594-4855
- NPI assigned
- May 10, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 708314 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courage to Change, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 708314 | CA | Yes |
Addresses
Primary practice location
1230 N Anderson Rd
Exeter, CA 93221-9674
Mailing address
1230 N Anderson Rd
Exeter, CA 93221-9674
Phone (559) 594-4855
Other providers in Exeter, CA
- Ali Agahi
- Maricela Aguilar Frausto
- Rosemary Villarreal Alcala
- Ali Agahi
- Citlali Alvarez-Bazan
- Maria Amador
- Daniel Apolinario
All providers in Exeter, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2021. 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.