Provider Demographics
NPI:1134763956
Name:CAREY, PAULETTE BROWN
Entity type:Individual
Prefix:MS
First Name:PAULETTE
Middle Name:BROWN
Last Name:CAREY
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 1:1765 N GAYOSO ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-2152
Mailing Address - Country:US
Mailing Address - Phone:504-722-9142
Mailing Address - Fax:
Practice Address - Street 1:1765 N GAYOSO ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-2152
Practice Address - Country:US
Practice Address - Phone:504-722-9142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-05
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty