Provider Demographics
NPI:1922587559
Name:GINNS, PAULINA JOY
Entity Type:Individual
Prefix:
First Name:PAULINA
Middle Name:JOY
Last Name:GINNS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PAULINE
Other - Middle Name:
Other - Last Name:AZORO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PAULINE AZORO
Mailing Address - Street 1:4321 VINE RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-2208
Mailing Address - Country:US
Mailing Address - Phone:817-404-4000
Mailing Address - Fax:
Practice Address - Street 1:4321 VINE RIDGE CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-2208
Practice Address - Country:US
Practice Address - Phone:817-404-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX854751163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse