Provider Demographics
NPI:1689773749
Name:DUPEE, PAULA MOSLEY (PA)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:MOSLEY
Last Name:DUPEE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:PAULA
Other - Middle Name:V
Other - Last Name:MOSLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:16412 EIDER ST
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3241
Mailing Address - Country:US
Mailing Address - Phone:202-745-8000
Mailing Address - Fax:
Practice Address - Street 1:50 IRVING ST NW
Practice Address - Street 2:ROUTING NUMBER 151W
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422-0001
Practice Address - Country:US
Practice Address - Phone:202-745-8000
Practice Address - Fax:202-745-3002
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPA30086363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical