Doctor Name: | HELEN TRAVIS PAULSON |
NPI Number: | 1215299425 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 182936 |
Business Practice Address: | 178 Lasalle Lefall Dr Quincy, FL - 323515278 |
Business Phone Number: | 8508753600 |
Business Fax Number: | 8506277277 |
Mailing Address: | 178 Lasalle Lefall Dr, QUINCY |
State: | FL |
Postal Code: | 323515278 |
Phone Number: | 8508753600 |
Fax Number: | 8506277277 |
NPI Enumeration Date: | 06/13/2012 |
NPI Last Update Date: | 06/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 182936 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |