Provider Demographics
NPI:1023782745
Name:NAULT, PAULA MARIA
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:MARIA
Last Name:NAULT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 S TELEGRAPH RD STE 109
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0951
Mailing Address - Country:US
Mailing Address - Phone:248-334-0937
Mailing Address - Fax:248-334-3772
Practice Address - Street 1:2550 S TELEGRAPH RD STE 109
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0951
Practice Address - Country:US
Practice Address - Phone:248-334-0937
Practice Address - Fax:248-334-3772
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704165347163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management