Individual
SUSAN RIVERS-PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
1501 MADISON RD FL 3, WALNUT HILLS, OH 45206-1780
(513) 354-5238
(513) 354-5237
Mailing address
519 HOWELL AVE, CINCINNATI, OH 45220-1905
(513) 861-3001
(513) 559-2020
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN084379NP05398
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2153771
—
OH
01
—
7801148
MEDICAID
KY
Enumeration date
07/11/2006
Last updated
08/18/2010
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