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Individual

ANDREA CAROL PAYETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
3950 E PARADISE FALLS DR., DAVIDSON, TUCSON, AZ 85712-6684
(520) 232-6817
(520) 232-6816
Mailing address
3950 E PARADISE FALLS DR., DAVIDSON, TUCSON, AZ 85712-6684
(520) 232-6817
(520) 232-6816

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN016420
AZ
163WS0200X
School Registered Nurse
Primary
RN016420
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD8100
AZ
Enumeration date
11/05/2007
Last updated
01/14/2008
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