Provider Demographics
NPI:1265751812
Name:ALLOCCA, PAULA N (PHD, PMHNP)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:N
Last Name:ALLOCCA
Suffix:
Gender:F
Credentials:PHD, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 N 28TH ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-5332
Mailing Address - Country:US
Mailing Address - Phone:804-371-1675
Mailing Address - Fax:804-225-1764
Practice Address - Street 1:1500 N 28TH ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-5332
Practice Address - Country:US
Practice Address - Phone:804-371-1675
Practice Address - Fax:804-225-1764
Is Sole Proprietor?:No
Enumeration Date:2010-05-21
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168712363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06115OtherGROUP PTAN