MEDICARE: PAIGE ELIZABETH DENNEY PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	30798	SC

General Provider Information

NPI Number	:	1629889571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE ELIZABETH DENNEY PMHNP

Provider Business Mailing Address
First Line	:	2000 SAM RITTENBERG BLVD STE 2011
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-4631
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 SAM RITTENBERG BLVD STE 2011
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-4631
Country	:	US
Telephone Number	:	843-793-3210
Fax Number	:

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

Provider Enumeration Date	:	01/17/2025
Last Update Date	:	10/02/2025

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