JUDY PAULETICH (NPI# 1528500360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
1255 MAYHILL RD N |
City | MAPLEWOOD |
State | MN |
Zip Code | 55119-7158 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811520307 | Restorative Healing & Counseling, LLC | Social Worker | 385 Londin Place, St. Paul, MN 55119 | 2020-02-13 |
1891282059 | Tyller Robert | Specialist/Technologist | 2594 Montana Ave E, Maplewood, MN 55119 | 2018-04-13 |
1477081032 | Katarzyna Zelichowski | Dentist | 1790 7th St. E, St.paul, MN 55119 | 2017-05-26 |
1952769333 | Rufus Zarzar | Non-emergency Medical Transport (VAN) | 230 Kipling St S # C6, St Paul, MN 55119 | 2016-02-01 |
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 |
1528391976 | Kc Healthcare Services | Home Health | 295 Mcnight Road South, St Paul, MN 55119 | 2009-09-16 |
1073759510 | Life Fountain Home Health Care Inc | Home Health | 1380 Currie St N, Maplewood, MN 55119 | 2009-01-06 |
1295858991 | Dental Delivery Systems St Paul, Pa | Dentist | 1790 7th Street E., St. Paul, MN 55119 | 2007-04-09 |
Find all providers in zip 55119 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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 |
Find all providers in MAPLEWOOD |
Please comment or provide details below to improve the information on JUDY PAULETICH.
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.