MEDICARE: PAIGE HOPE CORK 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
1	363LF0000X	Family Nurse Practitioner	269738	NC

General Provider Information

NPI Number	:	1730946104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE HOPE CORK FNP

Provider Business Mailing Address
First Line	:	1331 BETHEL RD
Second Line	:
City	:	MORGANTON
State	:	NC
Zip	:	28655-8112
Country	:	US
Telephone Number	:	828-390-9522
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 18TH AVE NW
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-1822
Country	:	US
Telephone Number	:	828-855-9560
Fax Number	:

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

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	03/04/2024

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