Individual provider · Type 1 NPI
Bethany Irene Payne
Acute Care Nurse Practitioner · Charlottesville, VA
NPI number
1629665120
Active
Practice location
1215 Lee St
Charlottesville, VA 22908-0816
Mailing address
PO Box 749112
Atlanta, GA 30374-9112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 0024180276 (VA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1629665120
Bethany Irene Payne's National Provider Identifier is 1629665120, issued on Dec 30, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Charlottesville, VA. The record was last updated on Sep 28, 2026.