Individual
PAYTON FELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1087
(574) 674-7458
Mailing address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1087
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28290030A
IN
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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