Provider Demographics
NPI:1982859872
Name:VETTER, PAULA J (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:J
Last Name:VETTER
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 1:2740 STONEBROOK CIRCLE
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446
Mailing Address - Country:US
Mailing Address - Phone:805-226-5190
Mailing Address - Fax:805-226-5191
Practice Address - Street 1:1020 PINE STREET
Practice Address - Street 2:SALUS INTEGRATIVE MEDICINE
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446
Practice Address - Country:US
Practice Address - Phone:805-226-5190
Practice Address - Fax:805-226-5191
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-114006363LF0000X
CARN793199;NP20706363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily