Provider Demographics
NPI:1588552012
Name:FLYNN, NOELLE ELIZABETH (RN)
Entity type:Individual
Prefix:MRS
First Name:NOELLE
Middle Name:ELIZABETH
Last Name:FLYNN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 CRANBERRY FARM RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-2279
Mailing Address - Country:US
Mailing Address - Phone:508-736-2465
Mailing Address - Fax:
Practice Address - Street 1:19 CRANBERRY FARM RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-2279
Practice Address - Country:US
Practice Address - Phone:508-736-2465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2311709163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse