Provider Demographics
NPI:1235599937
Name:PAULSEN, EMILY (BSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:PAULSEN
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:WISCHHUSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:3085 S JONES BLVD
Mailing Address - Street 2:STE. D
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-6782
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3085 S JONES BLVD
Practice Address - Street 2:STE. D
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6782
Practice Address - Country:US
Practice Address - Phone:702-888-0036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner