Provider Demographics
NPI:1356516447
Name:PAUL, MARIE GUERLINE (NP)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:GUERLINE
Last Name:PAUL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1817 FLATBUSH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4854
Mailing Address - Country:US
Mailing Address - Phone:347-636-4005
Mailing Address - Fax:718-942-5153
Practice Address - Street 1:1817 FLATBUSH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-4854
Practice Address - Country:US
Practice Address - Phone:347-636-4005
Practice Address - Fax:718-942-5153
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY309288363LA2200X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health