Healthcare Provider Details

I. General information

NPI: 1568557767
Provider Name (Legal Business Name): HELEN MICHELE PAQUIN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 06/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28041 AIRPARK DR UNIT 119
PUNTA GORDA FL
33982-2456
US

IV. Provider business mailing address

PO BOX 18683
SARASOTA FL
34276-1683
US

V. Phone/Fax

Practice location:
  • Phone: 941-929-9530
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9167226
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: