Individual
BARBARA J. PATERNOSTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2210 LAURENS RD, GREENVILLE, SC 29607-3224
(864) 288-8280
Mailing address
2210 LAURENS RD, GREENVILLE, SC 29607-3224
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
FP4224
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149466801
—
TX
05
—
149466802
—
TX
05
—
149466805
—
TX
05
—
149466806
—
TX
05
—
149466807
—
TX
05
—
149466812
—
TX
05
—
149466815
—
TX
05
—
149466816
—
TX
05
—
149466817
—
TX
05
—
149466818
—
TX
05
—
149466819
—
TX
05
—
149466820
—
TX
05
—
149466821
—
TX
05
—
149466822
—
TX
05
—
149466823
—
TX
05
—
149466824
—
TX
05
—
149466825
—
TX
05
—
149466826
—
TX
05
—
149466828
—
TX
01
—
8Y0772
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/30/2005
Last updated
10/10/2011
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