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MARY PAULSON
NPI 1790186880
Licensed Practical Nurse in Riverdale, MI

Active since September 09, 2014
11260 E FLECK RD, RIVERDALE, MI 48877(989) 763-7568 Get Directions Write a Review

NPPES record last updated: September 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Paulson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY PAULSON (NPI 1790186880) is an individual licensed practical nurse in Riverdale, Michigan, licensed in Michigan (4703059762) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1790186880
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARY PAULSON
Location Address11260 E FLECK RDRiverdale, MI 48877-9513
Mailing Address11260 E Fleck RdRiverdale, MI 48877-9513 · (989) 763-7568
Phone(989) 763-7568
Sole ProprietorNo
Enumeration DateSeptember 9, 2014
✔ NPI 1790186880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703059762
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
11260 E FLECK RD, Riverdale, MI 48877
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Paulson's NPI number?

The NPI number for Mary Paulson is 1790186880. It was assigned to this individual provider in the NPPES registry on September 9, 2014.

Where is Mary Paulson located?

Mary Paulson practices at 11260 E Fleck Rd, Riverdale, MI 48877. The listed phone number is (989) 763-7568.

What is Mary Paulson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mary Paulson was last updated on September 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.