Individual
PAYTON LYNN FAXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(308) 389-5155
Mailing address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(308) 389-5155
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28843
NE
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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