Russell, Paige Tara
Russell, Paige Tara is an individual health care provider with primary practice located at 423 N 3Rd Ave Ste 210 , Sandpoint ID 83864-1511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Russell, Paige Tara can be contacted via phone (208) 263-6876.Contact Information
Primary practice address
423 N 3Rd Ave Ste 210
Sandpoint ID 83864-1511
Phone: (208) 263-6876
Fax: (208) 263-2033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 59352 | Idaho |
Profile Details
| NPI number | 1205314622 |
|---|---|
| LBN Legal business name | Russell, Paige Tara |
| Credentials | DNP, NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2018 |
| Last updated | Jun 2nd, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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