Individual
SAMANTHA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1208 E CROSS ST, CENTERVILLE, IA 52544-3501
(641) 856-8651
Mailing address
1700 PARKWAY DR, CORALVILLE, IA 52241-2745
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
A171761
IA
363LF0000X
Family Nurse Practitioner
Primary
A171761
IA
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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