Provider Demographics
NPI:1558683185
Name:MCBAY, PAGE BOEN (RN)
Entity Type:Individual
Prefix:
First Name:PAGE
Middle Name:BOEN
Last Name:MCBAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 WESTPOINT DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38351-5766
Mailing Address - Country:US
Mailing Address - Phone:731-967-7521
Mailing Address - Fax:
Practice Address - Street 1:369 WESTPOINT DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:TN
Practice Address - Zip Code:38351-5766
Practice Address - Country:US
Practice Address - Phone:731-967-7521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000128791163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse