MEDICARE: DR. MERIAH PAIGE WARD FNP-BC, PMHNP-BC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024192940	VA
2	363LF0000X	Family Nurse Practitioner	95034407	CA
3	363LF0000X	Family Nurse Practitioner	5013270	NC
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5013270	NC
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95034407	CA
6	363LF0000X	Family Nurse Practitioner	0024192940	VA

General Provider Information

NPI Number	:	1083250500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MERIAH PAIGE WARD FNP-BC, PMHNP-BC

Provider Business Mailing Address
First Line	:	2098 TIGER EYE CT
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27127-8009
Country	:	US
Telephone Number	:	619-940-5022
Fax Number	:

Provider Business Practice Location Address
First Line	:	2098 TIGER EYE CT
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27127-8009
Country	:	US
Telephone Number	:	619-940-5022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2019
Last Update Date	:	03/02/2026

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