Provider Demographics
NPI:1992748081
Name:BAUDA, PAULA CHRISTINE (NP)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:CHRISTINE
Last Name:BAUDA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:PAULA
Other - Middle Name:CHRITINE
Other - Last Name:BAUDA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:2948 HERSHEY RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-5004
Mailing Address - Country:US
Mailing Address - Phone:814-864-8268
Mailing Address - Fax:
Practice Address - Street 1:135 EAST 38TH STREET
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16504
Practice Address - Country:US
Practice Address - Phone:814-868-8661
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAFO899237363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily