Ashley Marie Payne, RN
Individual provider Active NPI Registered Nurse · Maple Lake, MN
NPI 1497051361 · NPPES record last updated Feb 9, 2011
Key facts
- NPI
- 1497051361
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R190427-3 (MN)
- Practice address
- 910 Forest City Blvd NW
Maple Lake, MN 55358-3542 - Phone
- (612) 695-8614
- NPI assigned
- Feb 9, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R190427-3 | MN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R190427-3 | MN | Yes |
Addresses
Primary practice location
910 Forest City Blvd NW
Maple Lake, MN 55358-3542
Mailing address
910 Forest City Blvd NW
Maple Lake, MN 55358-3542
Other providers in Maple Lake, MN
- Jane Goodall Environmental Sciences Academy
- Tracy Lyn Jansen
- Terry Ann Kisner
- Maple Lake Recovery Center, Inc.
- Nicole Tripp DDS PLLC
- Dennis Leroy Quinlan
- Todd Calvin Seidl
- Virgina Rae Shinabarger
- Total Care Chiropractic, P.a.
- Nicole Leigh Tripp
All providers in Maple Lake, MN · Registered Nurse in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.