Provider Demographics
NPI:1275234437
Name:FERNANDEZ, PAIGE (FNP)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9748 WINDY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-2556
Mailing Address - Country:US
Mailing Address - Phone:918-527-3606
Mailing Address - Fax:
Practice Address - Street 1:2601 LITTLE ELM PKWY STE 1204
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-1921
Practice Address - Country:US
Practice Address - Phone:972-292-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1112882363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily