Carla Star Noe, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · Collumbia, SC
NPI 1780113522 · NPPES record last updated Jun 6, 2017
Key facts
- NPI
- 1780113522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 91178 (SC)
- Practice address
- SC Department of Health and Environmental Control
2100 Bull Street
Collumbia, SC 29204 - Phone
- (803) 898-0664
- NPI assigned
- Jun 6, 2017
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91178 | SC | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 91178 | SC | Yes |
Addresses
Primary practice location
SC Department of Health and Environmental Control
2100 Bull Street
Collumbia, SC 29204
Mailing address
309 Hancock Rd
Aiken, SC 29801-0647
Phone (803) 507-8991
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2017. 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.