MEDICARE: PAIGE WRIGHT 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	163W00000X	Registered Nurse	810623	NV

General Provider Information

NPI Number	:	1700657574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE WRIGHT RN

Provider Business Mailing Address
First Line	:	4040 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-0810
Country	:	US
Telephone Number	:	702-463-0300
Fax Number	:

Provider Business Practice Location Address
First Line	:	8610 S MARYLAND PKWY APT 2117
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2733
Country	:	US
Telephone Number	:	702-463-0300
Fax Number	:

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

Provider Enumeration Date	:	01/11/2024
Last Update Date	:	01/11/2024

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