JUDY PAULETICH


Address: 1255 Mayhill Rd N, Maplewood, MN 55119-7158
Phone: 7155296213

JUDY PAULETICH (NPI# 1528500360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528500360
Entity Type Individual
Full Name JUDY PAULETICH
Credential CNP
Practice Address 1255 Mayhill Rd N
Maplewood
MN 55119-7158
Practice Telephone 7155296213
Mailing Telephone 7155296213
Enumeration Date 2016-11-10
Last Update Date 2017-03-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
R111663-4 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1255 MAYHILL RD N
City MAPLEWOOD
State MN
Zip Code 55119-7158

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1144611427 Eric Michael Weisnicht Chiropractor 165 Mcknight Road N, Apt 105, Saint Paul, MN 55119 2015-02-09
1295147981 Lauri Elizabeth Goetz Licensed Practical Nurse 2092 Case Ave E, Saint Paul, MN 55119 2014-05-29
1205111770 Rem Ramsey, Inc. Intermediate Care Facility, Mentally Retarded 975 Lakewood Drive, Maplewood, MN 55119 2011-10-17
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124348354 Irina Efraimovich Nurse Practitioner 749b Irvington Avenue, Maplewood, NJ 07040 2010-06-10
1245359553 Patricia Stephens Nurse Practitioner 81 Jacoby St, Maplewood, NJ 07040-3057 2007-03-28
1235211665 Anne Schwemm Nurse Practitioner 1675 Village Trl E Unit 6, Maplewood, MN 55109 2006-10-19
1487661633 Barbara Louise Shaw Nurse Practitioner 2196 White Bear Ave N, Maplewood, MN 55109-2708 2006-08-01
1053951186 Shirley Sabado Santos Nurse Practitioner 2010 Springfield Ave, Maplewood, NJ 07040-3437 2020-01-07
1023557352 Jennifer Novak Nurse Practitioner 2165 White Bear Ave N, Maplewood, MN 55109-2707 2017-02-20
1316495401 Thomas Grove Wilson Nurse Practitioner 3100 Kennard St, Suite 100, Maplewood, MN 55109-5465 2016-09-16
1629420070 Lindsey Ann Dahm Nurse Practitioner 1575 Beam Ave, Maplewood, MN 55109-1126 2016-07-11
1578969044 Ilana Lynn Farb Nurse Practitioner 2603 White Bear Ave N, Maplewood, MN 55109-5110 2014-11-11
1659707289 Colleen Lynn Quesnell Nurse Practitioner 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 2013-09-13
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Competitor

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City MAPLEWOOD
Zip Code 55119

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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