Provider Demographics
NPI:1013130707
Name:JOHNSONBINGHAM, PAULA EVON (LVN)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:EVON
Last Name:JOHNSONBINGHAM
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USAG HESSEN
Mailing Address - Street 2:CMR 470 BOX 7683
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09165
Mailing Address - Country:DE
Mailing Address - Phone:328-6656
Mailing Address - Fax:
Practice Address - Street 1:HANAU HEALTH CLINIC
Practice Address - Street 2:UNIT 20193 BOX 0030
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09165
Practice Address - Country:DE
Practice Address - Phone:328-6656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174463164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse