Most Relevant Information
Provider Data
| NPI Number: | 1003807751 |
| Provider Name: | GEORGINA PAUL FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | F330709 |
Most Important Dates
| Enumeration Date: | 11/02/2005 |
| Last Updated: | 02/29/2008 |
Provider Practice Location
104 MEMORIAL DR
GOWANDA
NY
140701111
Practice Location Phone/Fax
| Phone: | 7165323368 |
| Fax: | 7165320074 |
Provider Mailing Location
104 MEMORIAL DR
GOWANDA
NY
140701111
Provider Mailing Phone/Fax
| Phone: | 7165323368 |
| Fax: | 7165320074 |