Provider Demographics
NPI:1093007106
Name:PAULSEN, DEBORAH (DNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:PAULSEN
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3945 CROOKED ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-8129
Mailing Address - Country:US
Mailing Address - Phone:651-492-1208
Mailing Address - Fax:
Practice Address - Street 1:2400 TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-5928
Practice Address - Country:US
Practice Address - Phone:941-639-1144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-07
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2011003371363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily