Provider Demographics
NPI:1851626303
Name:MEANS, PAUL BRIAN (NP)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:BRIAN
Last Name:MEANS
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4301 S HELENA ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-4310
Mailing Address - Country:US
Mailing Address - Phone:509-228-3646
Mailing Address - Fax:509-228-3647
Practice Address - Street 1:3704 N NEVADA ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-2968
Practice Address - Country:US
Practice Address - Phone:509-228-3646
Practice Address - Fax:509-228-3647
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60097094363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA461837491Medicaid
WAG8917243Medicare PIN