Paige Marie Moeggenborg, NP
Nurse Practitioner in Farmington Hills, MI. Individual provider (NPI-1).
NPI number1073408803
StatusActive
Last updated in NPPESJul 12, 2026
Details
- NPI
- 1073408803
- Entity type
- Individual (NPI-1)
- Name
- Paige Marie Moeggenborg
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2025
- Certification date
- Jul 12, 2026
- Last updated
- Jul 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704390044 | MI | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | 4704390044 | MI | |
| 363LA2200X | Nurse Practitioner, Adult Health | 4704390044 | MI |
Other names
- Paige Marie Berman (Former Name)
Practice location
30055 Northwestern Hwy Ste 220Farmington Hills, MI 48334-3275
Phone 248-865-9898
Mailing address
30055 Northwestern Hwy Ste 220Farmington Hills, MI 48334-3275
Phone 248-865-9898
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