Anderson, Paul Duane

Anderson, Paul Duane is an sole proprietor health care provider with primary practice located at 204 Lisa Marie Ct , Warner Robins GA 31088-2980. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Anderson, Paul Duane can be contacted via phone (478) 538-0677.

Contact Information

Primary practice address
204 Lisa Marie Ct Warner Robins GA 31088-2980
Phone: (478) 538-0677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN239689 Georgia
Nursing Service Providers / Registered Nurse 163W00000X RN239689 Georgia

Profile Details

NPI number 1427654508
LBN Legal business name Anderson, Paul Duane
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2020
Last updated Aug 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427654508 NPPES
Georgia Other 163W00000X NA

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