Provider Demographics
NPI:1306014857
Name:PAULOVICH, LINDA WILLIAMS (RN APN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:WILLIAMS
Last Name:PAULOVICH
Suffix:
Gender:F
Credentials:RN APN
Other - Prefix:
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Mailing Address - Street 1:15 PARK DR
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-2940
Mailing Address - Country:US
Mailing Address - Phone:501-847-1967
Mailing Address - Fax:501-303-5602
Practice Address - Street 1:1612 EDISON AVE
Practice Address - Street 2:SALINE COUNTY HEALTH UNIT
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015
Practice Address - Country:US
Practice Address - Phone:501-303-5650
Practice Address - Fax:501-303-5602
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARA01105364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health