MARIA CHRISTINA PAEGLE


Address: 4659 Brookwood Dr, Salt Lake City, UT 84117-4909
Phone: 8012689038

MARIA CHRISTINA PAEGLE (NPI# 1124237011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124237011
Entity Type Individual
Full Name MARIA CHRISTINA PAEGLE
Credential APRN
Practice Address 4659 Brookwood Dr
Salt Lake City
UT 84117-4909
Practice Telephone 8012689038
Mailing Telephone 8012689038
Enumeration Date 2007-05-21
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
4741912-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4659 BROOKWOOD DR
City SALT LAKE CITY
State UT
Zip Code 84117-4909

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1861842874 Whitney Aste Dentist 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 2016-06-21
1922403765 Tri-peak, Pllc Psychologist 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 2014-10-22
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1821348640 Fabiola Marquez Jamieson Social Worker 4500 S 2180 E, Suite 165, Holladay, UT 84117 2012-09-19
1073882882 Amy Rose White Social Worker 4500 South 2180 East, Suite 165, Holladay, UT 84117 2011-12-22
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1720433196 Lillian Farris Nurse Practitioner 2180 E 4500 S Ste 125, Salt Lake City, UT 84117-4021 2016-05-04
1164816922 Brittany Talbot Nurse Practitioner Salt Lake City Vamc, 500 Foothill Dr, Salt Lake City, UT 84148-0001 2015-03-19
1376959023 Charleen Angell Aprn, Pllc Nurse Practitioner 145 S 400 E, Salt Lake City, UT 84111-2104 2014-07-02
1619390218 Darin Ashton Principe Nurse Practitioner 159 W Broadway Ste 200, Salt Lake City, UT 84101-1923 2014-02-03
1083052963 Christina Elizabeth Burton Nurse Practitioner 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 2013-06-12
1558430389 Grace Forsythe Phd Inc Nurse Practitioner 2046 Murray Holladay Rd, 103, Salt Lake City, UT 84117-5125 2006-11-07
1639279466 Joann M Rolando Nurse Practitioner George E Wahlen Department of Veterans Affairs, Medical Center Va, Salt Lake City, UT 84148-0001 2006-09-22
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Competitor

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City SALT LAKE CITY
Zip Code 84117

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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