Noorlander, Mark Daniel

Noorlander, Mark Daniel is an individual health care provider with primary practice located at 77 W Forest Ave Suite 207, Flagstaff AZ 86001-1479. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Noorlander, Mark Daniel can be contacted via phone (928) 773-2505.

Contact Information

Primary practice address
77 W Forest Ave Suite 207 Flagstaff AZ 86001-1479
Phone: (928) 773-2505
Fax: (928) 773-2504
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 90703 Arizona

Profile Details

NPI number 1548510019
LBN Legal business name Noorlander, Mark Daniel
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2012
Last updated Jun 16th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548510019 NPPES
Arizona MEDICAID 764113

Popular Providers