MRS. MARY ELIZABETH PAGANO FNP-C NPI 1962980979

NPI Information

NPI: 1962980979
Provider Name: MRS. MARY ELIZABETH PAGANO, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2022 DORSETT VLG
MARYLAND HEIGHTS, MO
ZIP 63043
Phone: (314) 590-0520
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MRS. Mary Elizabeth Pagano, FNP-C is a family nurse practitioner in Maryland Heights, MO. MRS. Mary Elizabeth Pagano, FNP-C NPI is 1962980979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2022 DORSETT VLG
MARYLAND HEIGHTS, MO
ZIP 63043-208
Phone: (314) 590-0520

The NPI 1962980979 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2018 and was last updated on 8/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	2002007982	MISSOURI	No
2	163WG0000X	Registered Nurse	General Practice	041453981	ILLINOIS	No
3	363LF0000X	Nurse Practitioner	Family	209017735	ILLINOIS	No
4	363LF0000X	Nurse Practitioner	Family	2018012503	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2018012503	OTHER	MISSOURI	MO NP LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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