person
Stasia Renell Payne
Gerontology Nurse Practitioner in Southfield, Michigan
NPI 1245001403

Stasia Renell Payne is a Gerontology Nurse Practitioner based in Redford, MI and is specialized in Gerontology. Stasia Renell Payne practices in Southfield, MI. The NPI Number for Stasia Renell Payne is 1245001403 and holds a License No. 4704300384 (Michigan).

The current practice location address for Stasia Renell Payne is 16001 W 9 Mile Rd, Southfield, MI and can be reached out via phone at 248-849-3000.

Location: 16001 W 9 Mile Rd, Southfield, MI, 48239-2246
person
Provider Profile Details
NPI Number
1245001403
Provider Name
Stasia Renell Payne
Credential
Provider Entity Type
Individual
Gender
Female
Address
16001 W 9 Mile Rd, Southfield, MI, 48239-2246
Phone Number
248-849-3000
Fax Number
Provider Enumeration Date
01/15/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16001 W 9 Mile Rd
City
State
Zip
48075-4818
Phone Number
248-849-3000
Fax Number
person
Provider Business Mailing Address Details
Address
16001 W 9 Mile Rd
City
State
Zip
48075-4818
Phone Number
248-849-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
4704300384 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
4704300384 (Michigan)
Definition
Definition to come...
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