MEDICARE: MRS. LINDA M PAUL APRN, CPNP-PC

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	363LP0200X	Pediatric Nurse Practitioner	050976 APO3468	LA

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	:	1548252760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDA M PAUL APRN, CPNP-PC

Provider Business Mailing Address
First Line	:	5213 FIELDCREST AVE
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71303-2479
Country	:	US
Telephone Number	:	318-446-0303
Fax Number	:

Provider Business Practice Location Address
First Line	:	3330 MASONIC DR
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-3841
Country	:	US
Telephone Number	:	318-446-0303
Fax Number	:

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	11/01/2016

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