MEDICARE: MARIAN PAIGE NATION

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1144821828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIAN PAIGE NATION

Provider Business Mailing Address
First Line	:	2405 WAYNE CUTT AVE
Second Line	:
City	:	YUKON
State	:	OK
Zip	:	73099-9676
Country	:	US
Telephone Number	:	405-698-9464
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 N CLASSEN BLVD STE 185
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-2881
Country	:	US
Telephone Number	:	405-225-1891
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2020
Last Update Date	:	11/08/2020

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Directions to “ MARIAN PAIGE NATION ” Practice Location

Language	Start Address	Practice Location

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