Provider Demographics
NPI:1316001829
Name:STROUD, PAULA JOANN (RNC WHCNP)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:JOANN
Last Name:STROUD
Suffix:
Gender:F
Credentials:RNC WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4655 FM 314
Mailing Address - Street 2:
Mailing Address - City:BEN WHEELER
Mailing Address - State:TX
Mailing Address - Zip Code:75754-4009
Mailing Address - Country:US
Mailing Address - Phone:903-676-5480
Mailing Address - Fax:903-676-5489
Practice Address - Street 1:1334 S PALESTINE ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TX
Practice Address - Zip Code:75751-3621
Practice Address - Country:US
Practice Address - Phone:903-676-5480
Practice Address - Fax:903-616-5489
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX629756363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health