Individual
PAYTON FYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 RESERVOIR AVE STE 101, CRANSTON, RI 02910-4450
(401) 457-1500
Mailing address
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914-5375
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN04539
RI
Other
Enumeration date
04/01/2025
Last updated
07/21/2025
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