Individual
PAIGE MICHAELA VICTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 274-0275
(317) 274-0256
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
108
SC
367H00000X
Anesthesiologist Assistant
32697807
TX
367H00000X
Anesthesiologist Assistant
75000157A
IN
367H00000X
Anesthesiologist Assistant
Primary
AA1058
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103761279
ANTHEM PTAN
IN
Enumeration date
07/13/2020
Last updated
01/07/2026
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