Individual
MATTHEW PAIGE MAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
613 23RD ST STE 340, ASHLAND, KY 41101-2879
(606) 329-2888
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3007367
KY
363LF0000X
Family Nurse Practitioner
Primary
3007367
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062136
—
OH
05
—
3810022923
—
WV
05
—
7100220730
—
KY
01
—
P01094278
RR MEDICARE
KY
Enumeration date
03/12/2012
Last updated
12/22/2025
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