| NPI | 1255596607 |
|---|---|
| Former Name | SHANNON ELIZABETH PAYDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201043506RN) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201050225NP) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2016-04-05 |