Provider Demographics
NPI:1053184127
Name:NOONAN, ANDREA PATRICIA DRAGHIA (AG-ACNP)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:PATRICIA DRAGHIA
Last Name:NOONAN
Suffix:
Gender:F
Credentials:AG-ACNP
Other - Prefix:MS
Other - First Name:ANDREA
Other - Middle Name:PATRICIA
Other - Last Name:DRAGHIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AG-ACNP
Mailing Address - Street 1:13336 POCOMOKE CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-4427
Mailing Address - Country:US
Mailing Address - Phone:571-330-4509
Mailing Address - Fax:
Practice Address - Street 1:13336 POCOMOKE CT
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-4427
Practice Address - Country:US
Practice Address - Phone:571-330-4509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001270247163W00000X
VA0024186885363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse