Provider Demographics
NPI:1487144432
Name:HARPER, PAIGE RENEE (DNP)
Entity type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:RENEE
Last Name:HARPER
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2159 13-12 1/2 AVE
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:WI
Mailing Address - Zip Code:54822-2233
Mailing Address - Country:US
Mailing Address - Phone:319-573-9723
Mailing Address - Fax:
Practice Address - Street 1:610 WEST AVE STE C
Practice Address - Street 2:
Practice Address - City:RICE LAKE
Practice Address - State:WI
Practice Address - Zip Code:54868-1387
Practice Address - Country:US
Practice Address - Phone:715-202-6727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-15
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WI8522-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program