Provider Demographics
NPI:1215812128
Name:NOEL, ALISHA QUITINA (MSN, ACCNS-AG)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:QUITINA
Last Name:NOEL
Suffix:
Gender:F
Credentials:MSN, ACCNS-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23620 EDINBURGH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-2973
Mailing Address - Country:US
Mailing Address - Phone:248-416-0121
Mailing Address - Fax:
Practice Address - Street 1:23620 EDINBURGH ST
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-2973
Practice Address - Country:US
Practice Address - Phone:248-416-0121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704212728163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty