MEDICARE: PAIGE L MERCHANT

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	163WP2201X	Ambulatory Care Registered Nurse	RN3071582	FL

General Provider Information

NPI Number	:	1649869363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE L MERCHANT

Provider Business Mailing Address
First Line	:	2851 BANYAN HILL LN
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34639-4883
Country	:	US
Telephone Number	:	904-993-1223
Fax Number	:

Provider Business Practice Location Address
First Line	:	2851 BANYAN HILL LN
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34639-4883
Country	:	US
Telephone Number	:	904-993-1223
Fax Number	:

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

Provider Enumeration Date	:	01/17/2021
Last Update Date	:	01/17/2021

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Directions to “ PAIGE L MERCHANT ” Practice Location

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