Shirley C Page in Hattiesburg - Family

Shirley C Page - NPI 1730295619

Shirley C Page is a Family in Hattiesburg, Mississippi. Shirley C Page practices all healthcare services and medical treatments related to Family. The NPI Number for Shirley C Page is 1730295619. The last update date is 2020-07-23.

Shirley C Page's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6012685700 and fax number 6015795240. The mailing address for Shirley C Page is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Shirley C Page
Address 415 S 28th Ave, Hattiesburg, Mississippi
Phone Number 6012685700
Fax Number 6015795240
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1730295619
Provider Enumeration Date 2006-08-22
Last Updated Date 2020-07-23

Provider Mailing Address Detail

Address 415 S 28th Ave
City Hattiesburg
State Mississippi (MS)
Post Code 394017246
Phone Number 6012685700
Fax Number 6015795240

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No R634875
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9550526 MS --
812683366A GA --
9724412 MS AETNA
P00974932 MS RAILROAD MEDICARE
P00622808 MS RAILROAD MEDICARE
P00815523 MS RAILROAD MCARE THRU HCCN
1049336 LA --

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FAQs about Shirley C Page

What is the unique 10-digit identifier code issued to Shirley C Page by the Centers for Medicare & Medicaid Services?

The Shirley C Page has been assigned the NPI (National Provider Identifier) 1730295619 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Shirley C Page?

The Shirley C Page is situated at 415 S 28Th Ave, in the city of Hattiesburg, state of MS, with the zip code 394017246.

What is Shirley C Page's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Shirley C Page's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.

When was the Shirley C Page's 1730295619 issued?

The Shirley C Page's 1730295619 was issued on 2006-08-22.

As of what date was the information pertaining to Shirley C Page, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Shirley C Page, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-07-23.

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