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NPI Code Detail

MEDICARE: PAIGE MOTWANI FNP

MEDICARE: PAIGE MOTWANI FNP
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
1363LF0000XFamily Nurse Practitioner2023017038MO
2363LF0000XFamily Nurse PractitionerF02230649MO

General Provider Information

NPI Number : 1336849553
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE MOTWANI FNP
Provider Business Mailing Address
First Line : 309 CHESTNUT ST
Second Line :
City : GREENWOOD
State : MO
Zip : 64034-9108
Country : US
Telephone Number : 816-785-3543
Fax Number :
Provider Business Practice Location Address
First Line : 3521 NE RALPH POWELL RD
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64064-2337
Country : US
Telephone Number : 816-533-4398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2023
Last Update Date : 11/09/2023

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