Individual
LOREN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9352 PARK WEST BLVD, KNOXVILLE, TN 37923-4325
(865) 373-1000
Mailing address
765 EBLEN CIR, KINGSTON, TN 37763-3510
(423) 506-2340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
160245
TN
367500000X
Certified Registered Nurse Anesthetist
101131
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
18333
TN
Other
Enumeration date
08/08/2013
Last updated
04/26/2019
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