Individual
MISS HEIDI ANNE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2212 HUGHEY DR, REYNOLDSBURG, OH 43068-3600
(614) 634-5182
Mailing address
2212 HUGHEY DR, REYNOLDSBURG, OH 43068-3600
(614) 634-5182
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN133534 IV
OH
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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