# MS. PHEDRE PHARA PAULEMON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1376748558
- **Gender:** F
- **Credential:** MSN, APRN, FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 12.0095564 | CT | — |
| 363LF0000X | Family Nurse Practitioner | 2598428 | FL | — |
| 363LF0000X | Family Nurse Practitioner | 343011 | NY | — |
| 363LP2300X | Primary Care Nurse Practitioner | 343011 | NY | Yes |

## Other

- **Enumeration date:** 06/18/2007
- **Last updated:** 04/24/2025

## 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 |