Miksa, Paula Renee

Miksa, Paula Renee is an individual health care provider with primary practice located at 598 John Deere Drive , Maynardville TN 37807. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Miksa, Paula Renee can be contacted via phone (865) 992-6060.

Contact Information

Primary practice address
598 John Deere Drive Maynardville TN 37807
Phone: (865) 992-6060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003964 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1271 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-05096 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2079 South Carolina

Profile Details

NPI number 1548209463
LBN Legal business name Miksa, Paula Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Oct 30th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548209463 NPPES
Georgia Other 229393905 CHAMPUS
Georgia MEDICAID 617410018A CHAMPUS
Georgia MEDICAID 009936047 CHAMPUS
Georgia MEDICAID 150877 CHAMPUS

Popular Providers