MEDICARE: MRS. PAIGE ELIZABETH FLEMING RN

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	163WE0003X	Emergency Registered Nurse	336489	NC
2	363L00000X	Nurse Practitioner	APRN11040674	FL

General Provider Information

NPI Number	:	1346035557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PAIGE ELIZABETH FLEMING RN

Provider Business Mailing Address
First Line	:	4959 ARMINA PL
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34951-4473
Country	:	US
Telephone Number	:	704-352-6621
Fax Number	:

Provider Business Practice Location Address
First Line	:	1881 SE TIFFANY AVE
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-7567
Country	:	US
Telephone Number	:	772-335-9600
Fax Number	:

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

Provider Enumeration Date	:	04/10/2025
Last Update Date	:	07/08/2025

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