Individual
MRS. SHELBY LEE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 N CALEDONIA DR, OWOSSO, MI 48867-8844
(989) 729-4848
Mailing address
501 LAPEER AVE, SAGINAW, MI 48607-1203
(989) 753-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704286178
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
FNP
MI
Enumeration date
01/09/2023
Last updated
01/11/2024
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