Individual provider · Type 1 NPI
Samantha Kay Noeth, MMSN
Psychiatric/Mental Health Nurse Practitioner · Belleville, IL
NPI number
1245706548
Active
Practice location
12 N 64th St
Belleville, IL 62223-3809
Mailing address
715 Broadway St
Gillespie, IL 62033-1166
Other practice locations
- 715 Broadway St, Gillespie, IL 62033-1166 · (217) 839-4491
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209018361 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.018361 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1245706548
Samantha Kay Noeth, MMSN's National Provider Identifier is 1245706548, issued on Oct 15, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Belleville, IL. The record was last updated on Oct 6, 2025.