Provider Demographics
NPI:1659717254
Name:TRUETT, PAULETTE MEETZE (RN)
Entity Type:Individual
Prefix:MS
First Name:PAULETTE
Middle Name:MEETZE
Last Name:TRUETT
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 1:1300 STATE ST
Mailing Address - Street 2:
Mailing Address - City:CAYCE
Mailing Address - State:SC
Mailing Address - Zip Code:29033-4304
Mailing Address - Country:US
Mailing Address - Phone:803-791-5000
Mailing Address - Fax:803-739-4970
Practice Address - Street 1:1300 STATE ST
Practice Address - Street 2:
Practice Address - City:CAYCE
Practice Address - State:SC
Practice Address - Zip Code:29033-4304
Practice Address - Country:US
Practice Address - Phone:803-791-5000
Practice Address - Fax:803-739-4970
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC65288163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool