Individual
ANGELA SUE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN63754
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538370176
—
TN
Enumeration date
05/25/2007
Last updated
09/28/2010
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