Provider Demographics
NPI:1679072060
Name:OLIVEIRA, PAULA JOAN (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:JOAN
Last Name:OLIVEIRA
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 BEACH RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01952-2275
Mailing Address - Country:US
Mailing Address - Phone:603-770-0089
Mailing Address - Fax:
Practice Address - Street 1:233 BEACH RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MA
Practice Address - Zip Code:01952-2275
Practice Address - Country:US
Practice Address - Phone:603-770-0089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH024810-21163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant