Individual
CATHY ANN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ACNP-BC
Contact information
Practice address
11209 N TATUM BLVD STE 260, PHOENIX, AZ 85028
(602) 494-6800
(602) 494-6803
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN 109904 AP- 1040
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
524282
—
AZ
Enumeration date
01/27/2011
Last updated
11/14/2022
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