Provider Demographics
NPI:1447414537
Name:NIELSEN-MAYER, PAIGE ELLEN (MSN, CNM, NP-C)
Entity type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:ELLEN
Last Name:NIELSEN-MAYER
Suffix:
Gender:F
Credentials:MSN, CNM, NP-C
Other - Prefix:MRS
Other - First Name:PAIGE
Other - Middle Name:E
Other - Last Name:BIAS-CORBETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, CNM, NP-C
Mailing Address - Street 1:9031 CLYDESDALE RD
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-9102
Mailing Address - Country:US
Mailing Address - Phone:303-898-6375
Mailing Address - Fax:866-252-8162
Practice Address - Street 1:8375 WILLOW ST
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2837
Practice Address - Country:US
Practice Address - Phone:303-898-6375
Practice Address - Fax:866-252-8162
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCNM5866367A00000X
CO5514363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO20534736Medicaid
CO20534736Medicaid