Provider Demographics
NPI:1205953346
Name:HALLIGAN, PAULA A (FNP)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:A
Last Name:HALLIGAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:SKINNER
Other - Last Name:FOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:PO BOX 549
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NC
Mailing Address - Zip Code:28585-0549
Mailing Address - Country:US
Mailing Address - Phone:252-448-4321
Mailing Address - Fax:252-448-1073
Practice Address - Street 1:104 E LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NC
Practice Address - Zip Code:28585-8893
Practice Address - Country:US
Practice Address - Phone:252-448-4321
Practice Address - Fax:252-448-1073
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201428363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily