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Individual

MS. PAULA A ZUCCARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1000 HEALTH CENTER ROAD, KYLE, SD 57752
(605) 455-2451
Mailing address
530 DE MOSS ST, LORDSBURG, NM 88045-2617
(575) 542-2307
(575) 542-2307

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
SD-RN 023016
SD
363LF0000X
Family Nurse Practitioner
Primary
CP000107
SD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP-03587
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5549050
SD
Enumeration date
04/11/2006
Last updated
05/20/2019
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