Payne, Carla S

Payne, Carla S is an individual health care provider with primary practice located at 360 S Madison Ave Suite 100, Greenwood IN 46142-3117. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Payne, Carla S can be contacted via phone (317) 881-8248.

Contact Information

Primary practice address
360 S Madison Ave Suite 100 Greenwood IN 46142-3117
Phone: (317) 881-8248
Fax: (317) 885-8216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28160871A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004088A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 71004088A Indiana

Profile Details

NPI number 1063771962
LBN Legal business name Payne, Carla S
Credentials RN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2012
Last updated Jul 2nd, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063771962 NPPES
Indiana Other 000000791892 ANTHEM
Indiana Other 9360882 ANTHEM
Indiana Other 000000779844 ANTHEM
Indiana MEDICAID 201085440 ANTHEM

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