Provider Demographics
NPI:1821698564
Name:ROOD, PAULA JOHNSON (MSN AGNP-C)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:JOHNSON
Last Name:ROOD
Suffix:
Gender:F
Credentials:MSN AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 CORBETT ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-3030
Mailing Address - Country:US
Mailing Address - Phone:916-719-7316
Mailing Address - Fax:
Practice Address - Street 1:730 SANDHILL RD STE 200
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-8963
Practice Address - Country:US
Practice Address - Phone:775-772-0032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV833282363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health