Provider Demographics
NPI:1851885164
Name:PRICE, PAULA MARIE (NP-C)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:MARIE
Last Name:PRICE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 MACDOUGALL DRIVE
Mailing Address - Street 2:PO BOX 664
Mailing Address - City:WEST END
Mailing Address - State:NC
Mailing Address - Zip Code:27376-2709
Mailing Address - Country:US
Mailing Address - Phone:910-400-5272
Mailing Address - Fax:
Practice Address - Street 1:507 N MAIN ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NC
Practice Address - Zip Code:27371-2709
Practice Address - Country:US
Practice Address - Phone:910-576-0042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5010622363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily