MARY PARADIS PROFESSIONAL NURSING PC NPI 1639068893

NPI Information

  • NPI: 1639068893
  • Provider Name: MARY PARADIS PROFESSIONAL NURSING PC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 21990 HILLSIDE DR
    PALO CEDRO, CA
    ZIP 96073
  • Phone: (661) 677-9098

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NPI Details

MARY PARADIS PROFESSIONAL NURSING PC is a primary care nurse practitioner in Palo Cedro, CA. MARY PARADIS PROFESSIONAL NURSING PC NPI is 1639068893. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21990 HILLSIDE DR
PALO CEDRO, CA
ZIP 96073-637
Phone: (661) 677-9098

The provider's authorized official is Mary Paradis .
The authorized official title is President & Ceo and has the following contact phone number (661) 677-9098.

The enumeration date for this NPI number is 7/1/2025 and was last updated on 7/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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