Healthcare Provider Details

I. General information

NPI: 1053792838
Provider Name (Legal Business Name): PAIGE SCHERER RDN, LRD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2015
Last Update Date: 06/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E BROADWAY AVE
BISMARCK ND
58501-4520
US

IV. Provider business mailing address

900 EAST BROADWAY AVE PO BOX 5510
BISMARCK ND
58501-5510
US

V. Phone/Fax

Practice location:
  • Phone: 701-530-7877
  • Fax: 701-530-7890
Mailing address:
  • Phone: 701-530-7877
  • Fax: 701-530-7890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1000
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: