MEDICARE: PAYTON ELIZABETH NAIFEH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	37120	TN

General Provider Information

NPI Number	:	1053147561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAYTON ELIZABETH NAIFEH

Provider Business Mailing Address
First Line	:	319 TORREY PINES CV
Second Line	:
City	:	COVINGTON
State	:	TN
Zip	:	38019-3587
Country	:	US
Telephone Number	:	901-831-5800
Fax Number	:

Provider Business Practice Location Address
First Line	:	3340 PLAYERS CLUB PKWY STE 350
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-8949
Country	:	US
Telephone Number	:	866-362-6963
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2024
Last Update Date	:	09/11/2024

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