Doctor Name: | MRS. PAULA JEAN PRETTY |
NPI Number: | 1699974956 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 4704220831 |
Business Practice Address: | 117 S Main St Capac, MI - 480143715 |
Business Phone Number: | 8103954840 |
Business Fax Number: | 8103957551 |
Mailing Address: | 117 S Main St, CAPAC |
State: | MI |
Postal Code: | 480143715 |
Phone Number: | 8103954840 |
Fax Number: | 8103957551 |
NPI Enumeration Date: | 07/16/2007 |
NPI Last Update Date: | 12/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704220831 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |