Healthcare Provider Details

I. General information

NPI: 1639015944
Provider Name (Legal Business Name): PAIGE ELIZABETH RUSCHER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2375 S RIDGEVIEW DR
YUMA AZ
85364-8868
US

IV. Provider business mailing address

2708 BULL ST
BEAUFORT SC
29902-5306
US

V. Phone/Fax

Practice location:
  • Phone: 928-336-2518
  • Fax:
Mailing address:
  • Phone: 720-935-9897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: