Provider Demographics
NPI:1962059725
Name:PAULO, ROSEMONDE (NP)
Entity type:Individual
Prefix:
First Name:ROSEMONDE
Middle Name:
Last Name:PAULO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 RUMNEY RD # 2890031
Mailing Address - Street 2:
Mailing Address - City:REVERE
Mailing Address - State:MA
Mailing Address - Zip Code:02151-5614
Mailing Address - Country:US
Mailing Address - Phone:781-632-7565
Mailing Address - Fax:
Practice Address - Street 1:73 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:SAUGUS
Practice Address - State:MA
Practice Address - Zip Code:01906-1605
Practice Address - Country:US
Practice Address - Phone:781-233-8123
Practice Address - Fax:781-658-2494
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA234838363L00000X, 163WC2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC2100XNursing Service ProvidersRegistered NurseContinence Care
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner