MEDICARE: ANN MARIE PAUL

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1972207165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN MARIE PAUL

Provider Business Mailing Address
First Line	:	4501 CONNECTICUT AVE NW APT 609
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20008-3708
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 MASSACHUSETTS AVE NW APT 1631
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-5139
Country	:	US
Telephone Number	:	202-609-3703
Fax Number	:

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

Provider Enumeration Date	:	03/30/2023
Last Update Date	:	03/30/2023

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Directions to “ ANN MARIE PAUL ” Practice Location

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