Provider Demographics
NPI:1548798598
Name:PAULO, AMY PATRICIA (RN)
Entity Type:Individual
Prefix:MISS
First Name:AMY
Middle Name:PATRICIA
Last Name:PAULO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 TEE JAY DR
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-3318
Mailing Address - Country:US
Mailing Address - Phone:508-463-6042
Mailing Address - Fax:
Practice Address - Street 1:11 TEE JAY DR
Practice Address - Street 2:
Practice Address - City:SEEKONK
Practice Address - State:MA
Practice Address - Zip Code:02771-3318
Practice Address - Country:US
Practice Address - Phone:508-463-6042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2313289251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health