Provider Demographics
NPI:1992722532
Name:GILBERT, PAULA LYNN (NP)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:LYNN
Last Name:GILBERT
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 1:2659 US HIGHWAY 70 E
Mailing Address - Street 2:
Mailing Address - City:VALDESE
Mailing Address - State:NC
Mailing Address - Zip Code:28690-9517
Mailing Address - Country:US
Mailing Address - Phone:828-580-4080
Mailing Address - Fax:828-580-4089
Practice Address - Street 1:2659 US HIGHWAY 70 E
Practice Address - Street 2:
Practice Address - City:VALDESE
Practice Address - State:NC
Practice Address - Zip Code:28690-9517
Practice Address - Country:US
Practice Address - Phone:828-580-4080
Practice Address - Fax:828-580-4089
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200938363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2599430AMedicare ID - Type Unspecified
NCP42720Medicare UPIN