Provider Demographics
NPI:1184498529
Name:ZALDIVAR-GARCIA, PAOLA M (NP)
Entity type:Individual
Prefix:
First Name:PAOLA
Middle Name:M
Last Name:ZALDIVAR-GARCIA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 631767
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-1767
Mailing Address - Country:US
Mailing Address - Phone:812-450-6815
Mailing Address - Fax:812-450-6822
Practice Address - Street 1:520 MARY ST STE 340
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-1679
Practice Address - Country:US
Practice Address - Phone:812-450-3201
Practice Address - Fax:812-450-3395
Is Sole Proprietor?:No
Enumeration Date:2023-11-07
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN71014595A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner