Provider Demographics
NPI:1134948748
Name:MCCURRY, PAULA (CNP)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:
Last Name:MCCURRY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5325 W SUMMERVIEW LN
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-9182
Mailing Address - Country:US
Mailing Address - Phone:208-941-4324
Mailing Address - Fax:
Practice Address - Street 1:5325 W SUMMERVIEW LN
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-9182
Practice Address - Country:US
Practice Address - Phone:208-941-4324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID9761570363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily