Provider Demographics
NPI:1497025647
Name:PAIGE, LAUREN JULIETTE (RN, FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:JULIETTE
Last Name:PAIGE
Suffix:
Gender:F
Credentials:RN, FNP-BC
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:GABRIELLE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, FNP-BC
Mailing Address - Street 1:1300 W BROAD ST STE 2200
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23284-9058
Mailing Address - Country:US
Mailing Address - Phone:804-828-8828
Mailing Address - Fax:804-828-1093
Practice Address - Street 1:1300 W BROAD ST STE 2200
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23284-9058
Practice Address - Country:US
Practice Address - Phone:804-828-8828
Practice Address - Fax:804-828-1093
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001223115363LF0000X, 363LF0000X
VA0024169665363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0001223115OtherRN
VA0024169665OtherNP
VA0024169665OtherNP