Provider Demographics
NPI:1811322159
Name:PAYNE, LOU ANNE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:LOU
Middle Name:ANNE
Last Name:PAYNE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 ROSEANNE CIR
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-7827
Mailing Address - Country:US
Mailing Address - Phone:412-965-3649
Mailing Address - Fax:
Practice Address - Street 1:311 7TH ST
Practice Address - Street 2:
Practice Address - City:NEW KENSINGTON
Practice Address - State:PA
Practice Address - Zip Code:15068-6529
Practice Address - Country:US
Practice Address - Phone:724-335-1200
Practice Address - Fax:724-335-1200
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013157207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine