Individual
PATRICIA B PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
950 E BOGARD RD, SUITE #228, WASILLA, AK 99654-7184
(907) 376-8938
(907) 376-8939
Mailing address
PO BOX 871830, WASILLA, AK 99687-1830
(907) 376-8938
(907) 376-8939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
121579
AK
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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