Provider Demographics
NPI:1275813198
Name:DENMAN, PAIGE M (MSCC)
Entity type:Individual
Prefix:MS
First Name:PAIGE
Middle Name:M
Last Name:DENMAN
Suffix:
Gender:F
Credentials:MSCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 ALLEGHENY CIR
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-7472
Mailing Address - Country:US
Mailing Address - Phone:083-913-7893
Mailing Address - Fax:
Practice Address - Street 1:1710 ALLEGHENY CIR
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-7472
Practice Address - Country:US
Practice Address - Phone:308-391-3789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-23
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2124101YP2500X
372600000X
NE4370101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No372600000XNursing Service Related ProvidersAdult Companion