Individual
RENEE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8500 EXECUTIVE PARK AVE, SUITE 200, FAIRFAX, VA 22031-2225
(703) 698-5220
(703) 573-2351
Mailing address
8500 EXECUTIVE PARK AVE, SUITE 200, FAIRFAX, VA 22031-2225
(703) 698-5220
(703) 573-2351
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101055149
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030
CAREFIRST NCA
DC
01
—
033535
VALUE OPTIONS
VA
01
—
149304232
TRICARE
VA
01
—
202928
ANTHEM
VA
01
—
359063
MAMSI
—
01
—
462832-000
MAGELLAN
VA
01
—
513447
NCPPO
VA
01
—
7286105
AETNA
—
Enumeration date
07/18/2005
Last updated
11/10/2011
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