Provider Demographics
NPI:1023800877
Name:PAULSON, ABBIE (CPM)
Entity type:Individual
Prefix:
First Name:ABBIE
Middle Name:
Last Name:PAULSON
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2519 392ND AVE S
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-8604
Mailing Address - Country:US
Mailing Address - Phone:605-228-1387
Mailing Address - Fax:605-303-5589
Practice Address - Street 1:2519 392ND AVE S
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-8604
Practice Address - Country:US
Practice Address - Phone:605-228-1387
Practice Address - Fax:605-303-5589
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife