Provider Demographics
NPI:1598074924
Name:PAGET MACDONALD, MORAG ELIZABETH (APRN)
Entity Type:Individual
Prefix:MS
First Name:MORAG
Middle Name:ELIZABETH
Last Name:PAGET MACDONALD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:401 W. THAMES ST. BLDG 301
Mailing Address - Street 2:SOUTHEASTERN MENTAL HEALTH AUTHORITY
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360
Mailing Address - Country:US
Mailing Address - Phone:860-859-4645
Mailing Address - Fax:860-859-4790
Practice Address - Street 1:401 W. THAMES ST. BLDG 301
Practice Address - Street 2:SOUTHEASTERN MENTAL HEALTH AUTHORITY
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360
Practice Address - Country:US
Practice Address - Phone:860-859-4645
Practice Address - Fax:860-859-4790
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT004355363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner