Provider Demographics
NPI:1083911309
Name:FERREIRA, PAULIANE (RN)
Entity Type:Individual
Prefix:MISS
First Name:PAULIANE
Middle Name:
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 AVENUE C
Mailing Address - Street 2:APT.20E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-2508
Mailing Address - Country:US
Mailing Address - Phone:973-309-4230
Mailing Address - Fax:
Practice Address - Street 1:205 AVENUE C
Practice Address - Street 2:APT.20E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-2508
Practice Address - Country:US
Practice Address - Phone:973-309-4230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY636591-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse