Provider Demographics
NPI:1871261131
Name:BORDAS, PAULA HUGHEY (FNP)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:HUGHEY
Last Name:BORDAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 RIVER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-9271
Mailing Address - Country:US
Mailing Address - Phone:893-899-0889
Mailing Address - Fax:
Practice Address - Street 1:645 RIVER RIDGE RD
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-9271
Practice Address - Country:US
Practice Address - Phone:893-899-0889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-185077363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily