Provider Demographics
NPI:1457742926
Name:STRIPLING, PAIGE MARIE (NP-C)
Entity Type:Individual
Prefix:MS
First Name:PAIGE
Middle Name:MARIE
Last Name:STRIPLING
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4774 LOMA DEL SUR DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79934-3597
Mailing Address - Country:US
Mailing Address - Phone:915-751-7773
Mailing Address - Fax:915-757-8764
Practice Address - Street 1:4774 LOMA DEL SUR DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79934-3597
Practice Address - Country:US
Practice Address - Phone:915-751-7773
Practice Address - Fax:915-757-8764
Is Sole Proprietor?:No
Enumeration Date:2015-02-05
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127654363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX348596301Medicaid
TX396477YLPSOtherWELLMED PTAN