Individual
RACHEL PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3600 N PROW RD, BLOOMINGTON, IN 47404-1616
(812) 331-8000
Mailing address
3600 N PROW RD, BLOOMINGTON, IN 47404-1616
(812) 331-8000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71014491A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71014419A
APRN
IN
Enumeration date
08/09/2023
Last updated
11/28/2023
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