Individual
MRS. ANDREA LEIGH PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1.7 DYEA ROAD, SKAGWAY, AK 99840
(423) 488-2345
Mailing address
PO BOX 1352, SKAGWAY, AK 99840-1352
(423) 488-2345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
154629
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q025271
—
TN
Enumeration date
09/17/2013
Last updated
08/10/2023
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