Individual provider · Type 1 NPI

Cletus Payne, CNP

Nurse Practitioner · Toledo, OH

NPI number 1487101879 Active

Practice location

4405 N. Holland Sylvania Rd.
Toledo, OH 43623

Mailing address

PO Box 164
Luckey, OH 43443

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN.CNP.019586 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1487101879

Cletus Payne, CNP's National Provider Identifier is 1487101879, issued on Sep 2, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Toledo, OH. The record was last updated on Sep 2, 2016.