Individual
BRENNA DAWN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
7620 WALLACE BLVD, AMARILLO, TX 79124-2154
(806) 676-3579
Mailing address
7620 WALLACE BLVD, AMARILLO, TX 79124-2154
(806) 676-3579
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
PAY104366803
TX
Other
Enumeration date
11/13/2011
Last updated
01/12/2012
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