Doctor Name: | MS. EILEEN P PAUS |
NPI Number: | 1265679716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | 1010019657 |
Business Practice Address: | 1878 Mountain Rd Stowe, VT - 056724776 |
Business Phone Number: | 8022534853 |
Business Fax Number: | 8022532587 |
Mailing Address: | 530 Washington Hwy, Suite 12 MORRISVILLE |
State: | VT |
Postal Code: | 056618715 |
Phone Number: | 8028887266 |
Fax Number: | 8028883081 |
NPI Enumeration Date: | 01/20/2009 |
NPI Last Update Date: | 01/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1010019657 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |