Provider Demographics
NPI:1659249019
Name:WITT, PAULA KAY (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:KAY
Last Name:WITT
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3547 OWL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:THERMOPOLIS
Mailing Address - State:WY
Mailing Address - Zip Code:82443-9154
Mailing Address - Country:US
Mailing Address - Phone:307-864-5020
Mailing Address - Fax:307-864-5017
Practice Address - Street 1:150 E ARAPAHOE ST
Practice Address - Street 2:
Practice Address - City:THERMOPOLIS
Practice Address - State:WY
Practice Address - Zip Code:82443-2402
Practice Address - Country:US
Practice Address - Phone:307-864-5020
Practice Address - Fax:307-864-5017
Is Sole Proprietor?:No
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY22211163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse