Provider Demographics
NPI:1003136060
Name:LEDLOW, PAIGE CHRISTINE (MS, RN, ACNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:CHRISTINE
Last Name:LEDLOW
Suffix:
Gender:F
Credentials:MS, RN, ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3214 ALPINE DRIVE
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108
Mailing Address - Country:US
Mailing Address - Phone:614-562-0824
Mailing Address - Fax:
Practice Address - Street 1:3214 ALPINE DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-1766
Practice Address - Country:US
Practice Address - Phone:614-562-0824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704258137363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care