Basic Information
| Provider Information | |||||||||
| NPI: | 1154802320 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PAGEL | ||||||||
| FirstName: | HALEIGH | ||||||||
| MiddleName: | RAE | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 602 7TH AVE SW | ||||||||
| Address2: | |||||||||
| City: | TRIPOLI | ||||||||
| State: | IA | ||||||||
| PostalCode: | 506769700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3198823534 | ||||||||
| FaxNumber: | 3192723850 | ||||||||
| Practice Location | |||||||||
| Address1: | 602 7TH AVE SW | ||||||||
| Address2: | |||||||||
| City: | TRIPOLI | ||||||||
| State: | IA | ||||||||
| PostalCode: | 506769700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3198823534 | ||||||||
| FaxNumber: | 3192723850 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/27/2018 | ||||||||
| LastUpdateDate: | 05/12/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/12/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | A136949 | IA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.