Provider Demographics
NPI:1457697443
Name:PAIVA, JOSHUA JOSEPH (MBA, NRP)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:JOSEPH
Last Name:PAIVA
Suffix:
Gender:M
Credentials:MBA, NRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1763 DANCING CATTAIL DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-3287
Mailing Address - Country:US
Mailing Address - Phone:410-929-4367
Mailing Address - Fax:
Practice Address - Street 1:1763 DANCING CATTAIL DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-3287
Practice Address - Country:US
Practice Address - Phone:410-929-4367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-18
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
146L00000X
MD0203417146L00000X
MOP-18243146L00000X
VA146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic