PAOLA ANDREA MORA TOBON


Address: 200 Patewood Dr Ste 320, Greenville, SC 29615-3593
Phone: 8644545100

PAOLA ANDREA MORA TOBON (NPI# 1871138149) 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) 1871138149
Entity Type Individual
Full Name PAOLA ANDREA MORA TOBON
Credential FNP-C
Practice Address 200 Patewood Dr Ste 320
Greenville
SC 29615-3593
Mailing Address 1 Independence Pt Ste 212
Greenville
SC 29615-4536
Practice Telephone 8644545100
Practice Fax Number 8642419238
Enumeration Date 2019-11-11
Last Update Date 2019-12-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
22286 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 200 PATEWOOD DR STE 320
City GREENVILLE
State SC
Zip Code 29615-3593

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City GREENVILLE
Zip Code 29615

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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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