Provider Demographics
NPI:1922237783
Name:PAYNE, NANCY LEE (RN, BSN, CNOR, RNFA)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:LEE
Last Name:PAYNE
Suffix:
Gender:F
Credentials:RN, BSN, CNOR, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5319
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-0319
Mailing Address - Country:US
Mailing Address - Phone:541-954-6227
Mailing Address - Fax:541-484-0333
Practice Address - Street 1:3333 RIVERBEND DRIVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477
Practice Address - Country:US
Practice Address - Phone:541-954-6227
Practice Address - Fax:541-484-0333
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR087003106RN163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant