Individual
MARY PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
670 WINDING WOODS DR, LOVELAND, OH 45140-9170
(513) 478-5300
(513) 785-0667
Mailing address
670 WINDING WOODS DR, LOVELAND, OH 45140-9170
(513) 697-1596
(513) 697-1596
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP06865
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000337693
ANTHEM
OH
05
—
2464542
—
OH
Enumeration date
11/06/2006
Last updated
09/13/2013
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