Provider Demographics
NPI:1679715486
Name:PARADISE, MICHAEL WILLIAM (RN)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:WILLIAM
Last Name:PARADISE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:7 FOXFIELD CT
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-4853
Mailing Address - Country:US
Mailing Address - Phone:302-838-1089
Mailing Address - Fax:
Practice Address - Street 1:NEUROLOGY ASSOCIATES P.A.
Practice Address - Street 2:774 CHRISTIANA ROAD, SUITE 201
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713
Practice Address - Country:US
Practice Address - Phone:302-731-3017
Practice Address - Fax:302-292-8115
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEL1-0034103163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0800XNursing Service ProvidersRegistered NurseNeuroscience