Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | 4704366500 | MI |
Y | 363LN0000X | Nurse Practitioner - Neonatal | SP007610 | PA |
N | 363LP0200X | Nurse Practitioner - Pediatrics | UP005028D | PA |
N | 363LW0102X | Nurse Practitioner - Women's Health | 6894 | MN |
NPI | 1093926883 |
---|---|
Provider Name | Paula Marie Urban |
First Address | East Lansing, MI 48824-7015 |
Second Address | Lansing, MI 48912-1811 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 07/06/2021 |