Healthcare Provider Details

I. General information

NPI: 1467099242
Provider Name (Legal Business Name): PAIGE ALLYCIA PIER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PAIGE ALLYCIA HORNBACHER RN

II. Dates (important events)

Enumeration Date: 11/29/2019
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 KEN PRATT BLVD STE 120 PMB 1050
LONGMONT CO
80501-8998
US

IV. Provider business mailing address

205 KEN PRATT BLVD STE 120 PMB 1050
LONGMONT CO
80501-8998
US

V. Phone/Fax

Practice location:
  • Phone: 720-220-7837
  • Fax:
Mailing address:
  • Phone: 720-220-7837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN.0191304
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number0191304
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0191304
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN.0191304
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number0191304
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: