Dockery, Paula Venice

Dockery, Paula Venice is an individual health care provider with primary practice located at 1401 S 31St St , Philadelphia PA 19146-3506. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dockery, Paula Venice can be contacted via phone (215) 755-7700.

Contact Information

Primary practice address
1401 S 31St St Philadelphia PA 19146-3506
Phone: (215) 755-7700
Fax: (215) 755-3177
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP017442 Pennsylvania

Profile Details

NPI number 1275061202
LBN Legal business name Dockery, Paula Venice
Credentials CRNP FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275061202 NPPES
Pennsylvania MEDICAID 1035832590007

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