Healthcare Provider Details

I. General information

NPI: 1467415752
Provider Name (Legal Business Name): PAULA THUM NP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1998 HENDERSONVILLE RD SUITE 31
ASHEVILLE NC
28803-2349
US

IV. Provider business mailing address

227 E POPLAR DR
HENDERSONVILLE NC
28792-2029
US

V. Phone/Fax

Practice location:
  • Phone: 828-696-1798
  • Fax:
Mailing address:
  • Phone: 828-685-8969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number63677
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: