Provider Demographics
NPI:1407538440
Name:BURKEL, PAIGE BRITTANEY
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:BRITTANEY
Last Name:BURKEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 E SCHLIEMAN AVE
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:MN
Mailing Address - Zip Code:56208-1414
Mailing Address - Country:US
Mailing Address - Phone:320-413-0026
Mailing Address - Fax:
Practice Address - Street 1:428 E SCHLIEMAN AVE
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:MN
Practice Address - Zip Code:56208-1414
Practice Address - Country:US
Practice Address - Phone:320-413-0026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant