Healthcare Provider Details

I. General information

NPI: 1225334030
Provider Name (Legal Business Name): PAULA A MIX ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2011
Last Update Date: 01/18/2023
Certification Date: 01/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

534 BILTMORE AVE
ASHEVILLE NC
28801-4610
US

IV. Provider business mailing address

PO BOX 678948
DALLAS TX
75267-8948
US

V. Phone/Fax

Practice location:
  • Phone: 828-213-0801
  • Fax:
Mailing address:
  • Phone: 866-860-8755
  • Fax: 302-467-1822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number5012661
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberARNP2521412
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5012661
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: