Payne, Terri L
Payne, Terri L is an individual health care provider with primary practice located at 37822 Us Highway 18 , Prairie Du Chien WI 53821-8416. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Payne, Terri L can be contacted via phone (608) 357-2500.Contact Information
Primary practice address
37822 Us Highway 18
Prairie Du Chien WI 53821-8416
Phone: (608) 357-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 148797-32 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3065-33 | Wisconsin |
Profile Details
| NPI number | 1356411821 |
|---|---|
| LBN Legal business name | Payne, Terri L |
| Credentials | FNP, CNM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Apr 29th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356411821 | NPPES |
| Wisconsin | MEDICAID | 35020100 |
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