MEDICARE: PAULA KORN ANP

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	367A00000X	Advanced Practice Midwife	09	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356553655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA KORN ANP

Provider Business Mailing Address
First Line	:	3650 LAKE OTIS PKWY
Second Line	:	SUITE 140
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5207
Country	:	US
Telephone Number	:	907-277-2597
Fax Number	:	907-277-2598

Provider Business Practice Location Address
First Line	:	3650 LAKE OTIS PKWY
Second Line	:	SUITE 140
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5207
Country	:	US
Telephone Number	:	907-277-2597
Fax Number	:	907-277-2598

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

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	07/08/2007

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Directions to “ PAULA KORN ANP” Practice Location

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