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NPI Code Detail

MEDICARE: PAIGE KNIGHT

MEDICARE:   PAIGE  KNIGHT
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner12641CT

General Provider Information

NPI Number : 1295305308
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE KNIGHT
Provider Business Mailing Address
First Line : 93 EDWARDS ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06511-3933
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 93 EDWARDS ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06511-3986
Country : US
Telephone Number : 910-580-5503
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2021
Last Update Date : 01/19/2024

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Directions to “ PAIGE KNIGHT ” Practice Location

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