Individual
JUDY PAULETICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1255 MAYHILL RD N, MAPLEWOOD, MN 55119-7158
(715) 529-6213
Mailing address
1255 MAYHILL RD N, MAPLEWOOD, MN 55119-7158
(715) 529-6213
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R111663-4
MN
Other
Enumeration date
11/10/2016
Last updated
03/29/2017
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