Provider Demographics
NPI:1811187974
Name:PAIGE, VERMEL
Entity Type:Individual
Prefix:MS
First Name:VERMEL
Middle Name:
Last Name:PAIGE
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 1:1547 S PAGOSA ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-5281
Mailing Address - Country:US
Mailing Address - Phone:720-385-9771
Mailing Address - Fax:
Practice Address - Street 1:1547 S PAGOSA ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-5281
Practice Address - Country:US
Practice Address - Phone:720-385-9771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO09525548Medicaid
CO1811187974OtherNPI