Provider Demographics
NPI:1962640532
Name:SWALES, PAIGE E (ARNP,CNM)
Entity Type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:E
Last Name:SWALES
Suffix:
Gender:F
Credentials:ARNP,CNM
Other - Prefix:MISS
Other - First Name:PAIGE
Other - Middle Name:E
Other - Last Name:OXLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP,CNM
Mailing Address - Street 1:5450 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-2709
Mailing Address - Country:US
Mailing Address - Phone:303-441-0587
Mailing Address - Fax:303-996-0801
Practice Address - Street 1:4745 ARAPAHOE AVE STE 320
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-1082
Practice Address - Country:US
Practice Address - Phone:303-441-0587
Practice Address - Fax:303-996-0801
Is Sole Proprietor?:No
Enumeration Date:2009-02-04
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0992189-CNM367A00000X
FLARNP9271326367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002222200Medicaid
FLARNP9271326OtherMEDICAL LICENSE
FLARNP9271326OtherMEDICAL LICENSE