Provider Demographics
NPI:1932733367
Name:MORRISON, PAIGE (BSN, CRNA)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:MORRISON
Suffix:
Gender:F
Credentials:BSN, CRNA
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:208 FOREST OAKS DR
Mailing Address - Street 2:
Mailing Address - City:ARCHER LODGE
Mailing Address - State:NC
Mailing Address - Zip Code:27527-6943
Mailing Address - Country:US
Mailing Address - Phone:919-830-6258
Mailing Address - Fax:
Practice Address - Street 1:2700 WAYNE MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-9494
Practice Address - Country:US
Practice Address - Phone:919-736-1110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-25
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC292078163W00000X
390200000X
NC006983367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program