Individual
TRISTANE KATHLEEN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1217 KEARNEY ST STE 2, PORT HURON, MI 48060-3571
(810) 990-8302
Mailing address
1217 KEARNEY ST STE 2, PORT HURON, MI 48060-3571
(810) 689-3886
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704327381
MI
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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