Individual
PAIGE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
938 BANNOCK ST STE 100, DENVER, CO 80204-4031
(303) 602-8986
Mailing address
938 BANNOCK ST STE 100, DENVER, CO 80204-4031
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
1634918
CO
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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