# STILL WATERS PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255274445
- **Authorized official:** PATRICIA PAYNE PMHNP-BC, FNP-C (MANAGING MEMBER)
- **Authorized official phone:** (907) 299-1849

## Contact information

- **Practice address:** 3791 N EDGEWATER DR, WASILLA, AK 99623-9257
- **Practice address phone:** (907) 299-1849
- **Mailing address:** 7362 W PARKS HWY PMB 516, WASILLA, AK 99623
- **Mailing address phone:** (907) 299-1849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2026
- **Last updated:** 04/13/2026