Provider Demographics
NPI:1376925636
Name:PAULSEN, LURINDA NICHOLE (MSN, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:LURINDA
Middle Name:NICHOLE
Last Name:PAULSEN
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4110 GUADALUPE ST
Mailing Address - Street 2:APS-6, ROOM 1208
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-4223
Mailing Address - Country:US
Mailing Address - Phone:512-419-2117
Mailing Address - Fax:512-419-2459
Practice Address - Street 1:4110 GUADALUPE ST
Practice Address - Street 2:APS-6, ROOM 1208
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-4223
Practice Address - Country:US
Practice Address - Phone:512-419-2117
Practice Address - Fax:512-419-2459
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX735155163W00000X
HI68135163WP0808X
TXAP129409363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health