MEDICARE: PAIGE HARRIS

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	174H00000X	Health Educator
2	374J00000X	Doula

General Provider Information

NPI Number	:	1659039832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE HARRIS

Provider Business Mailing Address
First Line	:	49 PARADISE LN
Second Line	:
City	:	NORTH WATERBORO
State	:	ME
Zip	:	04061-4770
Country	:	US
Telephone Number	:	207-651-7616
Fax Number	:

Provider Business Practice Location Address
First Line	:	49 PARADISE LN
Second Line	:
City	:	NORTH WATERBORO
State	:	ME
Zip	:	04061-4770
Country	:	US
Telephone Number	:	207-651-7616
Fax Number	:

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

Provider Enumeration Date	:	12/03/2021
Last Update Date	:	12/23/2021

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Directions to “ PAIGE HARRIS ” Practice Location

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