MEDICARE: CORIE PAULIN

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	363LF0000X	Family Nurse Practitioner	SP018351	PA

General Provider Information

NPI Number	:	1891201851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORIE PAULIN

Provider Business Mailing Address
First Line	:	333 COMMERCE ST STE 700
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37201-1835
Country	:	US
Telephone Number	:	615-454-9850
Fax Number	:	888-494-2588

Provider Business Practice Location Address
First Line	:	311 E PLEASANT VALLEY BLVD FL 2
Second Line	:
City	:	ALTOONA
State	:	PA
Zip	:	16602-5512
Country	:	US
Telephone Number	:	574-546-1900
Fax Number	:	574-546-1999

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

Provider Enumeration Date	:	12/28/2017
Last Update Date	:	06/15/2026

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Directions to “ CORIE PAULIN ” Practice Location

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