Provider Demographics
NPI:1598922940
Name:LAPORTE, PAULA KAY (BSN, RN)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:KAY
Last Name:LAPORTE
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:KAY
Other - Last Name:LINSTROM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:211 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CO
Mailing Address - Zip Code:80751-3168
Mailing Address - Country:US
Mailing Address - Phone:970-522-4549
Mailing Address - Fax:970-522-4211
Practice Address - Street 1:910 E RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-3399
Practice Address - Country:US
Practice Address - Phone:970-867-4924
Practice Address - Fax:970-522-4211
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO45105163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult