Provider Demographics
NPI:1912976903
Name:PAUL, WINNIE ELIZABETH (PA)
Entity Type:Individual
Prefix:MS
First Name:WINNIE
Middle Name:ELIZABETH
Last Name:PAUL
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:94-031 KUAHELANI AVE
Mailing Address - Street 2:#106
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-1734
Mailing Address - Country:US
Mailing Address - Phone:808-554-8525
Mailing Address - Fax:
Practice Address - Street 1:94-031 KUAHELANI AVE
Practice Address - Street 2:#106
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-1734
Practice Address - Country:US
Practice Address - Phone:808-554-8525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2008-07-17
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant