Individual
MS. DANIELLE R PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
276 MANCHESTER AVE, WABASH, IN 46992-1701
(260) 563-2126
(260) 563-2120
Mailing address
5014 GOLFVIEW DR, FORT WAYNE, IN 46818-9340
(260) 348-5021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011541A
IN
Other
Enumeration date
03/28/2021
Last updated
10/03/2021
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