MEDICARE: CARRIE LYNN PAGE M.S.

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	237600000X	Audiologist-Hearing Aid Fitter	289	NV
2	231H00000X	Audiologist	289	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285824342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE LYNN PAGE M.S.

Provider Business Mailing Address
First Line	:	6061 S. FORT APACHE
Second Line	:	STE. 130
City	:	LAS VEGAS
State	:	NV
Zip	:	89148
Country	:	US
Telephone Number	:	702-990-1568
Fax Number	:	702-943-1804

Provider Business Practice Location Address
First Line	:	6061 S. FORT APACHE
Second Line	:	STE. 130
City	:	LAS VEGAS
State	:	NV
Zip	:	89148
Country	:	US
Telephone Number	:	702-990-1568
Fax Number	:	702-943-1804

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

Provider Enumeration Date	:	07/25/2007
Last Update Date	:	01/10/2012

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Directions to “ CARRIE LYNN PAGE M.S.” Practice Location

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