Individual
RACHAL PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5104 COLONIAL CIR, NIXA, MO 65714-8724
(417) 298-9743
Mailing address
5104 COLONIAL CIR, NIXA, MO 65714-8724
(417) 720-0818
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
2012011702
MO
174400000X
Specialist
Primary
2012011702
MO
332B00000X
Durable Medical Equipment & Medical Supplies
2012011702
—
Other
Enumeration date
08/26/2024
Last updated
10/07/2024
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