Individual
ASHLEY MARIE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
910 FOREST CITY BLVD NW, MAPLE LAKE, MN 55358-3542
(612) 695-8614
Mailing address
910 FOREST CITY BLVD NW, MAPLE LAKE, MN 55358-3542
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R190427-3
MN
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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