Provider Demographics
NPI:1710544697
Name:PAIGE MARSHALL APRN PLLC
Entity type:Organization
Organization Name:PAIGE MARSHALL APRN PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-634-8848
Mailing Address - Street 1:437 S BLUFF ST STE 302
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-3591
Mailing Address - Country:US
Mailing Address - Phone:435-634-8848
Mailing Address - Fax:435-634-8884
Practice Address - Street 1:437 S BLUFF ST STE 302
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3591
Practice Address - Country:US
Practice Address - Phone:435-634-8848
Practice Address - Fax:435-634-8884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-25
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty