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Individual

MRS. SHANNON KIMBERLY PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ANP-BC

Contact information

Practice address
2001 S MERRIMAN RD STE 300, WESTLAND, MI 48186-5542
(734) 727-1115
Mailing address
2001 S MERRIMAN RD STE 300, WESTLAND, MI 48186-5542
(734) 727-1115

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704220814
MI

Other

Enumeration date
12/12/2013
Last updated
02/17/2014
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