Organization
STILL WATERS PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA PAYNE PMHNP-BC, FNP-C (MANAGING MEMBER)
(907) 299-1849
Entity
Organization
Contact information
Practice address
3791 N EDGEWATER DR, WASILLA, AK 99623-9257
(907) 299-1849
Mailing address
7362 W PARKS HWY PMB 516, WASILLA, AK 99623
(907) 299-1849
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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