1306284724 NPI number — PAULITA DARAUAY NARAG PAULITA NARAG

Table of content: PAULITA DARAUAY NARAG PAULITA NARAG (NPI 1306284724)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306284724 NPI number — PAULITA DARAUAY NARAG PAULITA NARAG

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NARAG
Provider First Name:
PAULITA
Provider Middle Name:
DARAUAY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PAULITA NARAG
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DARAUAY
Provider Other First Name:
PAULITA
Provider Other Middle Name:
GAYYA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN, MSN, ACNP-BC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1306284724
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/08/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1900 PINE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ABILENE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79601-2432
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
325-670-2732
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1900 PINE ST
Provider Second Line Business Practice Location Address:
ROOM 4653
Provider Business Practice Location Address City Name:
ABILENE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79601-2432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
325-670-2735
Provider Business Practice Location Address Fax Number:
325-670-2580
Provider Enumeration Date:
06/07/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2100X , with the licence number:  457096 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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