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NPI Code Detail

MEDICARE: MS. BRIANA PAYNE LAURIE NP

MEDICARE: MS. BRIANA PAYNE LAURIE NP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.0997714-NPCO

General Provider Information

NPI Number : 1356934756
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRIANA PAYNE LAURIE NP
Provider Business Mailing Address
First Line : 4803 BOARDWALK DR STE 120
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3798
Country : US
Telephone Number : 970-310-3406
Fax Number :
Provider Business Practice Location Address
First Line : 4803 BOARDWALK DR STE 120
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3798
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2021
Last Update Date : 11/11/2022

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