Provider Demographics
NPI:1265852818
Name:COMPTON, PAULETTE CAROL (RN)
Entity Type:Individual
Prefix:
First Name:PAULETTE
Middle Name:CAROL
Last Name:COMPTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:PAULETTE
Other - Middle Name:CAROL
Other - Last Name:LIEBMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:10755 N 118TH WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-4113
Mailing Address - Country:US
Mailing Address - Phone:602-432-4292
Mailing Address - Fax:
Practice Address - Street 1:10755 N 118TH WAY
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-4113
Practice Address - Country:US
Practice Address - Phone:602-432-4292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN044397163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult