Individual
PAMELA R PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS AND CPNP
Contact information
Practice address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
777 BANNOCK ST, MC 0590, DENVER, CO 80204-4507
(303) 436-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
63618
CO
364SP0200X
Pediatric Clinical Nurse Specialist
63618
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40671275
—
CO
Enumeration date
08/04/2006
Last updated
03/19/2014
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