Provider Demographics
NPI:1932116803
Name:GIOVANINI-MORRIS, PAULA (MSN WHCNP C FNP BC A)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:GIOVANINI-MORRIS
Suffix:
Gender:F
Credentials:MSN WHCNP C FNP BC A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2908 FARVIEW DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-5106
Mailing Address - Country:US
Mailing Address - Phone:970-482-3468
Mailing Address - Fax:
Practice Address - Street 1:FMC/PVHS 1024 PENNOCK PL
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524
Practice Address - Country:US
Practice Address - Phone:970-495-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO98275163W00000X
CORXN99-28363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07982754Medicaid
CO07982754Medicaid