Doctor Name: | VICTOR CONRAD PAQUIN |
NPI Number: | 1043437775 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | F.P.N. |
License Number: | 145422 |
Business Practice Address: | 2165 Medical Park Dr Hickory, NC - 286028809 |
Business Phone Number: | 8283242800 |
Business Fax Number: | 8282949141 |
Mailing Address: | 2165 Medical Park Dr, HICKORY |
State: | NC |
Postal Code: | 286028809 |
Phone Number: | 8283242800 |
Fax Number: | 8282949141 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 05/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 145422 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |