Paula Jean Rousis, RN
Registered Nurse, Addiction (Substance Use Disorder) in Gary, IN. Individual provider (NPI-1).
NPI number1194282012
StatusActive
Last updated in NPPESFeb 27, 2019
Details
- NPI
- 1194282012
- Entity type
- Individual (NPI-1)
- Name
- Paula Jean Rousis
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2019
- Last updated
- Feb 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WA0400X | Registered Nurse, Addiction (Substance Use Disorder) | 2808733A | IN | Yes |
| 163W00000X | Registered Nurse | 2808733A | IN |
Practice location
1100 W 6th AveGary, IN 46402-1711
Phone 219-885-4246
Mailing address
1100 W 6th AveGary, IN 46402-1711
Phone 219-885-4624
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