Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | AP60054649 | WA |
NPI | 1063554582 |
---|---|
Provider Name | Paula Jo Neemann |
First Address | Jbphh, HI 96853-5399 |
Second Address | Jbphh, HI 96853-5399 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 20/09/2021 |