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Individual
MS. PHEDRE PHARA PAULEMON
Active
Individual
MS. PHEDRE PHARA PAULEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
12.0095564
CT
363LF0000X
Family Nurse Practitioner
2598428
FL
363LF0000X
Family Nurse Practitioner
343011
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
343011
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05401478
—
NY
01
—
0798935
CIGNA
NY
01
—
241008000231
FIDELIS
NY
01
—
3886122
AETNA
NY
01
—
F343011-CID
HEALTHFIRST
NY
01
—
P0569292
ELDERPLAN
NY
Enumeration date
06/18/2007
Last updated
04/24/2025
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