Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | OS015844 | PA |
Y | 2081P2900X | Pain Medicine | OS015844 | PA |
NPI | 1376738633 |
---|---|
Provider Name | Heather Ann Pauli |
First Address | Langhorne, PA 19047-1220 |
Second Address | Langhorne, PA 19047-1220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2007 |
Last Update Date | 07/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103055883 | (05) | PA |