MEDICARE: LAUREL PASKELL RN

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	RN.530442	OH
2	363LF0000X	Family Nurse Practitioner	RN.530442	OH

General Provider Information

NPI Number	:	1972305720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREL PASKELL RN

Provider Business Mailing Address
First Line	:	4600 OLEANDER DR
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-5149
Country	:	US
Telephone Number	:	614-292-4041
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 OLEANDER DR
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-5149
Country	:	US
Telephone Number	:	614-292-4041
Fax Number	:

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

Provider Enumeration Date	:	03/25/2025
Last Update Date	:	04/13/2026

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Directions to “ LAUREL PASKELL RN” Practice Location

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