Healthcare Provider Details

I. General information

NPI: 1871424564
Provider Name (Legal Business Name): CHARITY PAULL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 STANLEY ST
FALL RIVER MA
02720-6009
US

IV. Provider business mailing address

1394 DRIFT RD
WESTPORT MA
02790-1628
US

V. Phone/Fax

Practice location:
  • Phone: 508-675-1054
  • Fax:
Mailing address:
  • Phone: 860-329-3034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN2320392
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: