Individual
STACEY MARIE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4328 PAGE AVE, MICHIGAN CENTER, MI 49254-1077
(734) 644-0431
Mailing address
4328 PAGE AVE, MICHIGAN CENTER, MI 49254-1077
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704189027
MI
163WP2201X
Ambulatory Care Registered Nurse
Primary
4704189027
MI
Other
Enumeration date
01/13/2025
Last updated
03/24/2026
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