Healthcare Provider Details

I. General information

NPI: 1083250500
Provider Name (Legal Business Name): MERIAH PAIGE WARD FNP-BC, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2019
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2098 TIGER EYE CT
WINSTON SALEM NC
27127-8009
US

IV. Provider business mailing address

2098 TIGER EYE CT
WINSTON SALEM NC
27127-8009
US

V. Phone/Fax

Practice location:
  • Phone: 619-940-5022
  • Fax:
Mailing address:
  • Phone: 619-940-5022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024192940
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95034407
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5013270
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5013270
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95034407
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024192940
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: