Provider Demographics
NPI:1881756567
Name:NOIADE, ATARA
Entity type:Individual
Prefix:
First Name:ATARA
Middle Name:
Last Name:NOIADE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 WESTERN AVE
Mailing Address - Street 2:SUITE 506
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3605
Mailing Address - Country:US
Mailing Address - Phone:206-624-4777
Mailing Address - Fax:
Practice Address - Street 1:911 WESTERN AVE
Practice Address - Street 2:SUITE 506
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3605
Practice Address - Country:US
Practice Address - Phone:206-624-4777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM727171100000X
FLAP1949171100000X
WAAC00002885171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist