Individual
MARY M PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-4451
Mailing address
5529 BEAUPORT RD, INDIANAPOLIS, IN 46224-3315
(317) 366-6053
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28211441A
IN
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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