Provider Demographics
NPI:1952541641
Name:GASSER, PAULA MARIE (MPH, RN)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:MARIE
Last Name:GASSER
Suffix:
Gender:F
Credentials:MPH, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 GOODWIN CREST DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-3702
Mailing Address - Country:US
Mailing Address - Phone:205-290-4561
Mailing Address - Fax:205-290-4560
Practice Address - Street 1:236 GOODWIN CREST DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-3702
Practice Address - Country:US
Practice Address - Phone:205-290-4561
Practice Address - Fax:205-290-4560
Is Sole Proprietor?:No
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-024816163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse