Individual
PAIGE ELISE SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3000 41ST STREET OCEAN, MARATHON, FL 33050-2373
(305) 434-7660
(305) 434-9040
Mailing address
150 COCO PLUM DR SLIP 26, MARATHON, FL 33050-4076
(615) 337-9779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9487967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9487967
STATE OF FLORIDA
FL
Enumeration date
11/19/2018
Last updated
11/19/2018
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