| Doctor Name: | BLANCHE PAYNE |
| NPI Number: | 1497189047 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | HHA5575 |
| Business Practice Address: | 3 Liberty Pl Apt 9 Windsor Mill, MD - 212442061 |
| Business Phone Number: | 4436354688 |
| Business Fax Number: | |
| Mailing Address: | 3 Liberty Pl Apt 9, WINDSOR MILL |
| State: | MD |
| Postal Code: | 212442061 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2013 |
| NPI Last Update Date: | 08/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | HHA5575 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |