MEDICARE: DR. MISTY LYNN PAGAN NURSE PRACTITIONER

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	363L00000X	Nurse Practitioner	AP10023	AZ
2	363LA2200X	Adult Health Nurse Practitioner	AP10023	AZ
3	363LG0600X	Gerontology Nurse Practitioner	AP10023	AZ
4	363LP2300X	Primary Care Nurse Practitioner	AP10023	AZ

General Provider Information

NPI Number	:	1184119844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MISTY LYNN PAGAN NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	PO BOX 617
Second Line	:
City	:	SOMERTON
State	:	AZ
Zip	:	85350-0617
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1980 MESQUITE AVE
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86403-7713
Country	:	US
Telephone Number	:	928-392-3691
Fax Number	:

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

Provider Enumeration Date	:	06/26/2018
Last Update Date	:	05/29/2026

Similar Medicare Providers

1093806093 — DR. VIC S OYAS M.D.
Practice Location Address:

1980 MESQUITE AVE STE 101
LAKE HAVASU CITY, AZ
86403-7713

Practice Phone: 928-680-1919
Practice Fax: 928-680-0488

1912068198 — ALEXIS J ARAMINI CPNP
Practice Location Address:

1980 MESQUITE AVE STE 101
LAKE HAVASU CITY, AZ
86403-7713

Practice Phone: 928-680-1919
Practice Fax: 928-680-0488

1437340098 — HAVASU RAINBOW PEDIATRICS
Practice Location Address:

1980 MESQUITE AVE STE 101
LAKE HAVASU CITY, AZ
86403-7713

Practice Phone: 928-680-1919
Practice Fax: 928-680-0488

1356535405 — WESTERN ARIZONA FOOT & ANKLE
Practice Location Address:

1980 MESQUITE AVE , SUITE 103
LAKE HAVASU CITY, AZ
86403-7713

Practice Phone: 928-680-4934
Practice Fax: 928-505-4416

1154051753 — SAN LUIS WALK-IN CLINIC, INC.
Practice Location Address:

1980 MESQUITE AVE
LAKE HAVASU CITY, AZ
86403-7713

Practice Phone: 928-392-3691
Practice Fax: 928-392-3693

1538296223 — GUIDE SERVICES INC
Practice Location Address:

4725 DORSEY HALL DR STE A317
ELLICOTT CITY, MD
21042-7713

Practice Phone: 443-274-7887
Practice Fax: 410-970-6969

Directions to “ DR. MISTY LYNN PAGAN NURSE PRACTITIONER” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.