Provider Demographics
NPI:1932928025
Name:STANTON, PAIGE (CNP)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:STANTON
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 183
Mailing Address - Street 2:
Mailing Address - City:JORDAN
Mailing Address - State:MT
Mailing Address - Zip Code:59337-0183
Mailing Address - Country:US
Mailing Address - Phone:406-942-0439
Mailing Address - Fax:
Practice Address - Street 1:238 2ND AVE S
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:MT
Practice Address - Zip Code:59230-2313
Practice Address - Country:US
Practice Address - Phone:406-228-8013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-243684363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner