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Individual

TESSA L PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2401 W BELVEDERE AVE, PEDIATRIC ICU, BALTIMORE, MD 21215-5216
(410) 601-9193
(410) 601-4962
Mailing address
2401 W BELVEDERE AVE, CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5523
(410) 601-8946

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
R147475
MD

Other

Enumeration date
10/07/2008
Last updated
04/29/2010
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