Individual
MARIANNE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8320 MADISON AVENUE, INDIANAPOLIS, IN 46227-6090
(317) 882-5122
(317) 888-8642
Mailing address
8320 MADISON AVENUE, INDIANAPOLIS, IN 46227-6090
(317) 882-5122
(317) 888-8642
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27056839A
IN
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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