Provider Demographics
NPI:1699031419
Name:PAIGE, HAILEY ELIZABETH (PA-C)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:ELIZABETH
Last Name:PAIGE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:HAILEY
Other - Middle Name:ELIZABETH
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:248 PLEASANT ST STE G100
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2588
Mailing Address - Country:US
Mailing Address - Phone:603-230-1970
Mailing Address - Fax:603-227-7573
Practice Address - Street 1:248 PLEASANT ST STE G100
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2588
Practice Address - Country:US
Practice Address - Phone:603-230-1970
Practice Address - Fax:603-227-7573
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0888363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant