Provider Demographics
NPI:1407832496
Name:PACIULAN, PAULA (ARNP)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:
Last Name:PACIULAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:PAULINE
Other - Middle Name:B
Other - Last Name:PACIULAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:300 DERRY RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-3023
Mailing Address - Country:US
Mailing Address - Phone:603-886-3979
Mailing Address - Fax:
Practice Address - Street 1:300 DERRY RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-3023
Practice Address - Country:US
Practice Address - Phone:603-886-3979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH035574-23-03363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30341287Medicaid
NHNP1074Medicare ID - Type Unspecified
NH30341287Medicaid