Provider Demographics
NPI:1932201316
Name:ALBERT, PAUL KURT (ARNP)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:KURT
Last Name:ALBERT
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 PHYSICIAN DR
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:NC
Mailing Address - Zip Code:28721-8486
Mailing Address - Country:US
Mailing Address - Phone:828-564-9222
Mailing Address - Fax:828-564-9200
Practice Address - Street 1:32 PHYSICIANS DR
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:NC
Practice Address - Zip Code:28721-8486
Practice Address - Country:US
Practice Address - Phone:828-564-9222
Practice Address - Fax:828-564-9200
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0050-02618363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7005574Medicaid
NC2594799Medicare PIN
S56123Medicare UPIN