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NPI Code Detail

MEDICARE: DEBORAH L PALADA MSN, RN, CPNP

MEDICARE: DEBORAH L PALADA MSN, RN, CPNP
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
1363LP0200XPediatric Nurse Practitioner140791MO

Other Identifiers

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

General Provider Information

NPI Number : 1568495125
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH L PALADA MSN, RN, CPNP
Provider Business Mailing Address
First Line : 3348 AMERICAN AVE
Second Line :
City : JEFFERSON CITY
State : MO
Zip : 65109-1079
Country : US
Telephone Number : 573-761-7210
Fax Number : 573-634-8802
Provider Business Practice Location Address
First Line : 3348 AMERICAN AVE
Second Line :
City : JEFFERSON CITY
State : MO
Zip : 65109-1079
Country : US
Telephone Number : 573-761-7210
Fax Number : 573-634-8802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2006
Last Update Date : 10/01/2012

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