MEDICARE: NANCY J PAOLINI RN BSN

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	163W00000X	Registered Nurse	RN9208262	FL

General Provider Information

NPI Number	:	1841264926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY J PAOLINI RN BSN

Provider Business Mailing Address
First Line	:	1875 BOGGY CREEK RD
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-9516
Country	:	US
Telephone Number	:	407-343-2000
Fax Number	:	407-343-2069

Provider Business Practice Location Address
First Line	:	105 N DOVERPLUM AVE
Second Line	:
City	:	POINCIANA
State	:	FL
Zip	:	34758
Country	:	US
Telephone Number	:	407-943-8616
Fax Number	:	407-943-8625

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

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	07/08/2007

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