Kasuboski, Paula Marie

Kasuboski, Paula Marie is an individual health care provider with primary practice located at 14520 W Granite Valley Dr Ste 120 , Sun City West AZ 85375-5855. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kasuboski, Paula Marie can be contacted via phone (866) 974-2673.

Contact Information

Primary practice address
14520 W Granite Valley Dr Ste 120 Sun City West AZ 85375-5855
Phone: (866) 974-2673
Fax: (866) 939-2673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3682 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 315752 Arizona

Profile Details

NPI number 1801035613
LBN Legal business name Kasuboski, Paula Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2009
Last updated Oct 3rd, 2025 - about last year

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 1801035613 NPPES
Wisconsin MEDICAID 100002763
Wisconsin Other 110643
Wisconsin Other 368233

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