Individual
MATTHEW PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
69 BAY ST, MANCHESTER, NH 03104-3005
(603) 232-6987
Mailing address
69 KAUNAS CIR, MANCHESTER, NH 03102-2317
(603) 554-4490
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
080369-23
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2020
Last updated
10/15/2023
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