Provider Demographics
NPI:1326554767
Name:PAIGE, VEON DARNELL
Entity Type:Individual
Prefix:
First Name:VEON
Middle Name:DARNELL
Last Name:PAIGE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 DELAWARE AVE SW APT 15
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-3900
Mailing Address - Country:US
Mailing Address - Phone:202-651-6270
Mailing Address - Fax:
Practice Address - Street 1:1200 DELAWARE AVE SW APT 15
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-3900
Practice Address - Country:US
Practice Address - Phone:202-651-6270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-21
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide