Individual
PAIGE ALAYNE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, PMHNP-BC
Contact information
Practice address
15211 NE 72ND AVE, VANCOUVER, WA 98686-1929
(360) 209-4449
Mailing address
210 W 21ST ST, CONCORDIA, KS 66901-5200
(785) 243-8900
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
TMP-161708
KS
Other
Enumeration date
05/17/2023
Last updated
09/08/2024
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