Provider Demographics
NPI:1053345199
Name:NOONAN, JULIANNE S (ARNP)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:S
Last Name:NOONAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:456 DANIEL WEBSTER HWY
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-3699
Mailing Address - Country:US
Mailing Address - Phone:603-424-8120
Mailing Address - Fax:603-424-8140
Practice Address - Street 1:456 DANIEL WEBSTER HWY
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-3699
Practice Address - Country:US
Practice Address - Phone:603-424-8120
Practice Address - Fax:603-424-8140
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0351902303363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0351902303OtherBON LIC #
NH50Y095600NH01OtherBC/BS GROUP ID#
NH50Y095600NH01OtherBC/BS GROUP ID#
NHMN1161037OtherDEA
309080YMedicare UPIN