Basic Information
| Provider Information | |||||||||
| NPI: | 1336160407 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MAHURIN | ||||||||
| FirstName: | PAULETTE | ||||||||
| MiddleName: | MYRA | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 515 EL PASEO RD | ||||||||
| Address2: | |||||||||
| City: | OJAI | ||||||||
| State: | CA | ||||||||
| PostalCode: | 93023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056400499 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1200 MARICOPA HIGHWAY | ||||||||
| Address2: | OJAI VALLEY COMMUNITY HEALTH CENTER | ||||||||
| City: | OJAI | ||||||||
| State: | CA | ||||||||
| PostalCode: | 93023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056408293 | ||||||||
| FaxNumber: | 8056401410 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/22/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 6701 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.