Provider Demographics
NPI:1548942915
Name:PANALIGAN-PATERNO, MAILAH ESMILLER (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MISS
First Name:MAILAH
Middle Name:ESMILLER
Last Name:PANALIGAN-PATERNO
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:3265 MILITARY RD
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:LA
Mailing Address - Zip Code:71068-2809
Mailing Address - Country:US
Mailing Address - Phone:318-894-2341
Mailing Address - Fax:318-894-0220
Practice Address - Street 1:3265 MILITARY RD
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:LA
Practice Address - Zip Code:71068-2809
Practice Address - Country:US
Practice Address - Phone:318-894-2341
Practice Address - Fax:318-894-0220
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA231766363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner