Doctor Name: | PAULA J ZALEWSKI |
NPI Number: | 1194125443 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AGPCNP-BC |
License Number: | 4704169249 |
Business Practice Address: | 28695 Danvers Ct South Lyon, MI - 481789215 |
Business Phone Number: | 2489122665 |
Business Fax Number: | |
Mailing Address: | 28695 Danvers Ct, SOUTH LYON |
State: | MI |
Postal Code: | 481789215 |
Phone Number: | 2489122665 |
Fax Number: | |
NPI Enumeration Date: | 08/23/2014 |
NPI Last Update Date: | 08/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 4704169249 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |