MEDICARE: LAURA PAIGE APRN-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
1	363LP2300X	Primary Care Nurse Practitioner	11017092	FL

General Provider Information

NPI Number	:	1669132445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA PAIGE APRN-C

Provider Business Mailing Address
First Line	:	PO BOX 120423
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34712-0423
Country	:	US
Telephone Number	:	386-871-3367
Fax Number	:

Provider Business Practice Location Address
First Line	:	3755 S US HIGHWAY 27
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-7640
Country	:	US
Telephone Number	:	352-394-4035
Fax Number	:	352-394-8585

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

Provider Enumeration Date	:	12/21/2021
Last Update Date	:	06/22/2026

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Directions to “ LAURA PAIGE APRN-C” Practice Location

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