Paultre, Vanessa Marie

Paultre, Vanessa Marie is an individual health care provider with primary practice located at 2000 Sw Archer Rd , Gainesville FL 32608-1136. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Paultre, Vanessa Marie can be contacted via phone (352) 273-8656.

Contact Information

Primary practice address
2000 Sw Archer Rd Gainesville FL 32608-1136
Phone: (352) 273-8656
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9108128 Florida

Profile Details

NPI number 1518362722
LBN Legal business name Paultre, Vanessa Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2014
Last updated Jan 9th, 2015 - about 11 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 1518362722 NPPES
Florida MEDICAID 013880800

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