STASIA RENELL PAYNE

SOUTHFIELD, MI
NPI1245001403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: MI  4704300384)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: MI  4704300384)
Enumeration Date2024-01-15
Last Update Date2024-01-15
Business Address
STASIA RENELL PAYNE
16001 W 9 MILE RD
SOUTHFIELD, MI 48075-4818
Phone number: 248-849-3000
Mailing Address
STASIA RENELL PAYNE
9595 ROCKLAND
REDFORD, MI 48239-2246
Phone number: