Provider Demographics
NPI:1942729363
Name:PAULEY, CLAIRE E (PA-C)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:E
Last Name:PAULEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6422 E SPEEDWAY BLVD
Mailing Address - Street 2:STE 150
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-1149
Mailing Address - Country:US
Mailing Address - Phone:520-318-3004
Mailing Address - Fax:520-318-3061
Practice Address - Street 1:6422 E SPEEDWAY BLVD STE 150
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-1149
Practice Address - Country:US
Practice Address - Phone:520-318-3004
Practice Address - Fax:520-318-3061
Is Sole Proprietor?:No
Enumeration Date:2017-09-18
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601010889363A00000X
NY027862363A00000X
CA54863363A00000X
AZ7059363A00000X
FLPA9115386363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPA9115386OtherMEDICAL LICENSE
NY027862OtherMEDICAL LICENSE
CA54863OtherMEDICAL LICENSE
MI5601010889OtherMEDICAL LICENSE
AZ7059OtherMEDICAL LICENSE