Healthcare Provider Details

I. General information

NPI: 1427648203
Provider Name (Legal Business Name): PAIGE ELIZABETH HUETTE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAIGE ELIZABETH WEISS FNP

II. Dates (important events)

Enumeration Date: 01/25/2021
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 GRAHAM RD STE C-2310
FLORISSANT MO
63031-8023
US

IV. Provider business mailing address

PO BOX 959354
SAINT LOUIS MO
63195-2328
US

V. Phone/Fax

Practice location:
  • Phone: 314-996-7080
  • Fax: 314-953-6309
Mailing address:
  • Phone: 314-953-6300
  • Fax: 314-953-6309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2020041078
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: