MEDICARE: BARBARA ANN PAUP RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	67675	NE

General Provider Information

NPI Number	:	1184421265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA ANN PAUP RN

Provider Business Mailing Address
First Line	:	607 E ST
Second Line	:
City	:	CENTRAL CITY
State	:	NE
Zip	:	68826-1221
Country	:	US
Telephone Number	:	308-940-1741
Fax Number	:

Provider Business Practice Location Address
First Line	:	1811 W 2ND ST STE LL200
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68803-5420
Country	:	US
Telephone Number	:	308-382-1884
Fax Number	:	308-382-0589

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2025
Last Update Date	:	02/26/2025

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