Healthcare Provider Details

I. General information

NPI: 1336608579
Provider Name (Legal Business Name): PAULA DONAHUE JAMES DNP, APRN, CCNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 03/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 W UNDERWOOD ST # MP128
ORLANDO FL
32806-1110
US

IV. Provider business mailing address

52 W UNDERWOOD ST # MP128
ORLANDO FL
32806-1110
US

V. Phone/Fax

Practice location:
  • Phone: 321-843-8335
  • Fax:
Mailing address:
  • Phone: 321-843-8335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SC0200X
TaxonomyCritical Care Medicine Clinical Nurse Specialist
License Number9192985
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: