Individual provider · Type 1 NPI

Pamela Noonan, RD

Nurse Practitioner · Emeryville, CA

NPI number 1043260896 Active

Practice location

2100 Powell St
Emeryville, CA 94608-1826

Mailing address

600 Coffee Rd
Modesto, CA 95355-4201

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP95036904 (CA)
Registered Dietitian 133V00000X860640 (CA)
Nutritionist 133N00000X860640 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043260896

Pamela Noonan, RD's National Provider Identifier is 1043260896, issued on May 11, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Emeryville, CA. The record was last updated on Jul 13, 2026.