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NPI Code Detail

MEDICARE: EMILY L PAGE MSN, FNP-C

MEDICARE: EMILY L PAGE MSN, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner4704255220MI
2363L00000XNurse Practitioner4704255220MI

General Provider Information

NPI Number : 1043839111
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY L PAGE MSN, FNP-C
Provider Business Mailing Address
First Line : 401 HALL ST SW STE 263
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-4988
Country : US
Telephone Number : 616-719-0919
Fax Number : 616-719-0933
Provider Business Practice Location Address
First Line : 401 HALL ST SW STE 263
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-4988
Country : US
Telephone Number : 616-719-0919
Fax Number : 616-719-0933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2020
Last Update Date : 10/14/2025

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Directions to “ EMILY L PAGE MSN, FNP-C” Practice Location

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