Illya Payne

NPI #1164879904 in Elkridge, Maryland

Provider Information

NPI Number
1164879904
Entity Type
Individual
Name
Illya Payne
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
May 23, 2016
Last Updated
May 23, 2016

Practice Location

Address
6095 MARSHALEE DR
ZIP Code
21075-6053
Phone
(855) 247-8474

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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