Individual provider · Type 1 NPI

Illya Payne

Family Nurse Practitioner · Elkridge, MD

NPI number 1164879904 Active

Practice location

6095 Marshalee Dr
Elkridge, MD 21075-6053

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2015027443 (MO)
Family Nurse Practitioner 363LF0000X20164 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1164879904

Illya Payne's National Provider Identifier is 1164879904, issued on May 23, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Elkridge, MD. The record was last updated on May 23, 2016.