Provider Demographics
NPI:1902960701
Name:PAIGE, PATRICIA ANN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:PAIGE
Suffix:
Gender:F
Credentials:ARNP
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Other - Last Name:
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Mailing Address - Street 1:10314 NE 81ST ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-4600
Mailing Address - Country:US
Mailing Address - Phone:352-374-6005
Mailing Address - Fax:352-379-4055
Practice Address - Street 1:1601 SW ARCHER RD
Practice Address - Street 2:ORTH FLORIDA SOUTH GEORGIA VETERANS HEALTTH SYSTEM 11I
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1135
Practice Address - Country:US
Practice Address - Phone:352-374-6005
Practice Address - Fax:352-379-4055
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL917262363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health