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NPI Code Detail

MEDICARE: PAIGE PETERSEN

MEDICARE: PAIGE PETERSEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist4987NV

General Provider Information

NPI Number : 1063925915
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE PETERSEN
Provider Business Mailing Address
First Line : 431 MISSION DR
Second Line :
City : HENDERSON
State : NV
Zip : 89002-9203
Country : US
Telephone Number : 702-370-2293
Fax Number :
Provider Business Practice Location Address
First Line : 1489 W WARM SPRINGS RD STE 110
Second Line :
City : HENDERSON
State : NV
Zip : 89014-7367
Country : US
Telephone Number : 702-370-2293
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2017
Last Update Date : 04/22/2025

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Directions to “ PAIGE PETERSEN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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