Individual
MARIA ENRIQUETA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
1845 N FAIR OAKS AVE, PASADENA, CA 91103-1620
(626) 744-6005
Mailing address
600 SIERRA MEADOWS DR, SIERRA MADRE, CA 91024-1135
(626) 355-6509
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
NPF 1275
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPF 1275
NP FURNISHING NUMBER
CA
Enumeration date
05/18/2007
Last updated
07/08/2007
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