Provider Demographics
NPI:1578890067
Name:PAULOS, NIKOLE JOLE (CPM, LM)
Entity Type:Individual
Prefix:MRS
First Name:NIKOLE
Middle Name:JOLE
Last Name:PAULOS
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 PAINTED CAVE RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-9770
Mailing Address - Country:US
Mailing Address - Phone:805-450-3910
Mailing Address - Fax:
Practice Address - Street 1:2720 PAINTED CAVE RD
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-9770
Practice Address - Country:US
Practice Address - Phone:805-450-3910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM 253176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife